Case of aneurism of the hepatic artery with multiple abscesses of the liver / by George Ross and William Osler.

  • Ross, George, 1845-1892.
Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: Case of aneurism of the hepatic artery with multiple abscesses of the liver / by George Ross and William Osler. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    piles, nor any abdominal or rectal trouble of any kind. Has always been of extremely temperate habits. His present illness began, he says, about the 1st of Septem- ber last, with what he describes as a severe cramping pain in the stomach, which began in the morning and continued all day. At 4.30 p.m. of that day he had a violent rigor, lasting about twenty minutes. This was followed by high fever and perspira- tion. Similar chills recurred, he says, with great regularity, every second day for five or six times, and then ceased after he had taken some medicine from the Hospital Dispensary. At this* time his appetite became poor, he felt weak and was very low- spirited, and observed that his skin assumed a sallow colour- Ever since he has been gradually getting weaker and losing flesh pretty rapidly, and the sallow tint of the skin has been steadily increasing in intensity. There has also been almost constantly present a dull, aching pain in the right side over the region of the liver. Slighter rigors, followed by fever and some perspiration, have also occurred several times at irregular intervals. Present Condition.—Much emaciated, somewhat anaemic,, but the whole skin of a dirty, dingy, sallow hue, without any jaundice,—the sclerotic clear, and not yellowish, There is a very peculiar, pungent, somewhat feculent and extremely disa- greeable odor exhaled from the surface of the body. There is slight fullness of the right hypochondriac region, which is also somewhat tender upon pressure. Liver.—Dulness extends from the 4th interspace to one inch below the margin of the ribs. The belly is full and tumid, and tenderness is also found on pressure over the epigastrium. Splenic dulness not increased. Tongue slightly furred, rather dry, and with red edges. Bowels have been, and still are, considerably relaxed, the motions being light-coloured and especially offensive. Urine, sp. gr. 1019, high-coloured, but containing neither bile pigment, albumen nor sugar. Heart—Situation and sounds normal, pulse 116. Lungs.. Resonance and breathing normal throughout, except at the base of