Volume 20

Descriptive catalogue of the pathological specimens contained in the Museum of the Royal College of Surgeons of England.

  • Royal College of Surgeons of England. Museum
Date:
1882-
Catalogue details

Licence: Public Domain Mark

Credit: Descriptive catalogue of the pathological specimens contained in the Museum of the Royal College of Surgeons of England. Source: Wellcome Collection.

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    fistula, and this it continued to do. On Nov. 28th, 1904, ex¬ ploration was carried out by the donor, when the gall-bladder was found distended, with a calculus at the cystic duct. The duct was ligatured, and the gall-bladder with the fistula removed. [Mounted in 50 °/0 glycerine.] Presented by A. W. Mayo Robson, Esq., 1906. 2830 p. A gall-bladder removed by operation. In the wall on the right-hand side, about an inch and a quarter from the fundus, there is the linear cicatrix of a previous incision. The cicatrix, which is marked between two pieces of pink glass rod, is about half an inch in length ; the mucosa around is finely puckered in lines converging to the scar. To the interior of the viscus there have been artificially secured three silk ligatures, partially encrusted with cal¬ careous material, which were found loose in the cavity into which they had been discharged during the healing of the incision of which the cicatrix is shown. From a woman, set. 52, who had had jaundice when five years old, and had suffered from pain and “ indigestion ” until the age of thirteen. When seventeen the patient for ten weeks was the subject of abdominal pain, and the presence of gall-stones was diagnosed. In 1899 the abdomen was opened for appendicitis, and at the same time thirty-six biliary calculi, from a quarter to half an inch in diameter, were removed from the gall-bladder; the incision made into the latter was sutured and the bladder returned to the abdominal cavity. The patient remained well until Dec. 1904, when persistent pain in the region of the gall-bladder set in; this was accom¬ panied with obstinate constipation. On April 10th the gall-bladder was exposed by operation, and by means of a cannula some bile- stained fluid was removed, the viscus being then excised. On opening the bladder, the debris of a calculus, together with three silk ligatures, were found. [Mounted in 50 °/0 glycerine.] Presented by J. P). Malcolm, Esq., 1906. 2836 c. Half of a multilocular tumour which was removed from the back of the pancreas, from which its chief blood- supply came. The growth is of spheroidal form, lowly lobulated, and measures about four and a half by three and a half inches in its chief diameters. The cysts of which it is almost entirely constructed vary in size, the