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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    the sac. All the abdominal organs were matted together, and bound down to the back of the cavity by old adhesions. [131.] Case Y.— Cysts filled with serum ^formed hy fibrinous lamince intersecting the general peritoneal cavity^ the results of peritonitis. Large cyst of the right ovary ; smaller ones of the left ovary. Mary T., 83t, 34, the mother of eight children, was admitted Oct. 19, 1853, with a swelling of the abdomen, which she said had been attended with most pain on the right side. The catamenia had been regular; she had had no illness. The abdomen was very generally and uniformly distended, and fluctuation was manifest; the resonance of the bowels always occupying the most prominent parts of the ab- domen when she changed her position. There was no evidence of disease of the heart or kidneys. Under the use of diuretics and pur- gatives the abdomen was reduced almost to the natural size ; and she left the hospital, but continued as an out-patient. On the 19th of October she became again an in-patient, having a very large abdomen, and suffering from pains therein, and from vomiting, with constipation The resonance of the bowels was only to be heard very high up. Still there was no anasarca, and the urine was free from albumen though scanty. Paracentesis abdominis was performed, and much clear limpid fluid withdrawn. She went on pretty well for some days, until thirst and vomiting came on, and symptoms of some degree of peritonitis. She became low and depressed, and, in spite of certain favourable changes, sank, and died December 2d. Post-mortem examination.—There was some oedema of the lungs behind, but the various thoracic organs were natural. The abdomen contained a large quantity of straw-coloured fluid, enclosed in spaces formed by fibrinous laminae intersecting the peritoneal cavity ; so that, in making a puncture into one of these, the fluid escaped from that space alone. The parietal peritoneum was lined by a thick layer of vascular false membrane. The intestines were contracted, and accu- mulated into a very small space in front of the spine. The kidneys were healthy ; the liver small, with an opaque capsule. A large cyst, of the size of a foetal head, was connected with the right ovary, and occupying the pelvic cavity : this was filled with dark gelatinous fluid and soft vascular solid masses. Several small cysts were also con- nected with the other ovary. [251.] Case YI.—Peritonitis. Peculiar fetid grumous fiuid, of uncertain origin, in the deep cavity of the peritoneum. Mary H., set. 45, was admitted July 18, 1858, in a dying state, and suffering from great tenderness over the whole of the abdomen and sickness of three days' standing. The bowels had been confined, but had operated three days previously. No hernia could be ascer- tained to exist. She died in great suffering a few hours after admis- sion.