Instances of some of the rarer varieties of morbid growths swellings, &c. connected with the organs contained within the abdominal cavity.

  • Ogle, John W. (John William), 1824-1905.
Date:
[cbetween 1800 and 1899?]
Catalogue details

Licence: Public Domain Mark

Credit: Instances of some of the rarer varieties of morbid growths swellings, &c. connected with the organs contained within the abdominal cavity. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    very dark and very albuminous. The conjunctiva yellow. Purgatives were freely given, and ether to alleviate a spasmodic kind of pain of which he complained ; the alvine evacuations were very pale. Though in some respects he improved, the abdomen became larger. The albu- men and bile diminished in the urine, but oedema of the legs came on, and then diarrhoea. He lost strength and flesh ; and pain in the lower part of the abdomen was great. He finally became delirious before death, which occurred Feb. 2d. Post-mortem examination.—The lungs were somewhat congested ; the right one being much pushed up by the liver, which reached as high as the third intercostal space. The great omentum was at its lower part adherent to the anterior wall of the abdomen. In the areolar tissue, between the layers of peritoneum, forming the lesser and greater omentum, were numerous cysts containing hydatids, which formed an enormous mass, occupying the whole of the central part of the abdominal cavity, and much dis- placing the viscera ; the small intestines occupying chiefly the left iliac fossa. Behind the umbilicus, in the anterior and lower portion of the mass of cysts, was situated a large irregular cavity of sufficient capacity to contain a child's head. This cavity was apparently formed by the coalescing of several cysts, the interposed partitions having been destroyed. It was lined by a thick layer of false membrane, which gave great consistency to its walls, and it contained a thin yellowish purulent and very offensive fluid, in which floated many hydatids, apparently long dead. The remainder of the mass consisted of cysts containing hydatids, some ruptured and collapsed, others in various stages of development. The containing cyst-walls were in places almost of fibro-cartilaginous character. Isolated cysts also existed ; as, for example, in the transverse meso-colon, beneath the peritoneum of the sigmoid flexure of the colon, between the rectum and bladder, be- tween the peritoneum and the fascia transversalis near the umbilicus. The liver contained several small purulent deposits, slightly tinged with bile, and the branches of the portal vein also contained pus. Kidneys congested. Other organs natural. [35.] Case IY.—Large sac, formed of fibrinous material and filled with fluid ; situated in front of the intestines, Jane L., set. 29, admitted May 8, 1850, with ascites and diseased liver. At first the swelling, as she said, had appeared to begin on the left side, where pain existed ; and for some time she thought she had been pregnant. When admitted, the abdomen was enormously dis- tended, and no resonance existed at its upper part, but it could be traced on either side towards the spine. Tapping had to be resorted to several times. Post-mortem examination.—The cavity of the peritoneum was found lined by a tolerably thick layer of firmly organised lymph, which passed in front of the intestines and formed a sac, filled with yellow serum. Numerous slender bands of recent lymph were stretched across