Transactions of the Pathological Society of London Volume 16 (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1865 Excerpt: ...the diagnosis. The smooth globular prominence on the upper surface hail much the characters of an hydatid tumour, and subsequently the nodulated border might easily have been mistaken for cancer. There was latterly great ascites, and during the last month the patient, who had previously been in good condition, emaciated rapidly. The liver weighed eleven pounds eight ounces and a-half. Dr. Cayley, 18th of October, 18C4. 21. Series of gall-stones. This series of gall-stones consisted of the calculi, either passed during life or removed from the body after death, of seven different individuals, and Dr. Harley's object in showing them was to illustrate the following points: --1st. That the dangers arising from hepatic calculi are not in proportion to the size of the stone. 2nd. That a small stone may lead to fatal peritonitis, and a large one give rise to no symptoms--not even discomfort during life, --its existence only being detected after death. 3rd. The pain caused by the passage of the stone appears to depend more on its shape than its absolute size, a small angular one causing much more discomfort than a large oval one. 4th. The danger arising from biliary calculi does not cease after the calculus has found its way into the intestinal canal. At least two cases of death are reported as having occurred from impaction of the gallstone in the small intestines. 5th. A gall-stone passed along with the feces ought to be looked for at the bottom, not at the surface of the fluid. 6th. All the symptoms of the passage of a gall-stone may exist and none be found in the excretions, in consequence of their arising from the passage of inspissated bile. Dr. George Harley, 18th of October, 1864. 22. Hydatid tumour of the liver threatening to burst. Paracentesis. Recovery. O...