Clinical lectures on diseases of the liver, jaundice and abdominal dropsy : including the Croonian Lectures on functional derangements of the liver delivered at the Royal College of Physicians in 1874.

  • Murchison, Charles, 1830-1879.
Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: Clinical lectures on diseases of the liver, jaundice and abdominal dropsy : including the Croonian Lectures on functional derangements of the liver delivered at the Royal College of Physicians in 1874. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    on surface; substance dense, witli increaae of fibrous tissue between lobules. Common bile-duct and cystic duct completely obliterated by cicatricial con- traction of fibrous tissue in portal fissure. Two or three lymphatic j^rlands in portal fissure enlarged to about size of hazel-nuts and compressing trunk of portal vein. Gall-bladder greatly distended, containing fully 10 oz. of colourless, serous, flaky fluid. Bile-ducts in interior of liver moderately dilated; and one of them contained a fine specimen of Dlstoma (Fasciola hepatica) ; ^ ducts were carefully washed out, but only the one specimen could be found. Mucous membrane of duodenum, not far from orilice of bile-duct> contained a cii'cular somewhat elevated plate of morbid deposit, about size of a shilling. This deposit was not ulcerated and did not extend into musciikr coat; but both it and enlarged glands in portal fissure were ascertained by Dr. Green- field to be cancerous. No evidence of cancer elsewhere in body. Left kidney expanded into a large cyst which ruptured in removal; nature of this cyst not ascertained. ' The specimen is in the Museum of St. Thomas's Hospital.