Catalogue of the Pathological Museum of the Glasgow Royal Infirmary / edited by David Foulis.

Date:
1878
Catalogue details

Licence: Public Domain Mark

Credit: Catalogue of the Pathological Museum of the Glasgow Royal Infirmary / edited by David Foulis. 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 patient is stated to have suffered from dysentery. There was a tumour detected in left hypochoudrium. Path. Bep., Nov. 23, 1874. . 98. Inguinal hernia. Sac projected into the tunica vaginahs. The preparation shows the sac of the hernia inside the tunica vaginalis, which latter has been opened. It is obvious that in operating here the tunica vaginalis would have been first opened into, the hernial sac being separate. The testis lies at the bottom of the tunica and appears compressed. The hernial sac contained a piece of omentum weighing 2^ oz. The neck is wide. This is probably a case in which there has been only partial obliteration of the canal of communication between the tunica vaginahs and the peritoneal cavity. The hernial sac is apparently formed of the upper part of this canal, which in distending pushes a layer of tunica vaginalis before it. The wall ot the sac consists of two distinct serous membranes, which however are adherent. Path. Bep., April 23, 1874. _ 99. Small abscesses in right anterior margin of liver. _ Perity- phlitis: abscess opening internally: pericarditis acute, recent: hydrothorax, right side, and atelectasis of right lung. No hydatids. Path. Bep., Nov. 20, 1875. 100 Numerous small dark red tumours, seemingly ol lymphoid structure, in the liver of patient who died of abdominal tuberculosis. Path. Bep., Feb. 7, 1876. 101 Ulcer of duodenum, rupture of artery. The ulcer m tins case is situated just beyond the pyloric orifice; it is nearly circular in outline, and completely perforates the coats ot the intestine. At its circumference the duodenum is firmly adlierent to the pancreas, and the cicatricial tissue which forms the adhesion has caused some contraction ot the calibre of the gut. The margins of the ulcer are veiy abrupt, and in part undermined; and the floor, which is about three-eighths of an inch beneath the general surface of the mucous membrane, is formed of pancreatic tissue with a coating of granulations. On examination the cavity of the ulcer was occupied by a browmsh clot, which at one part was adherent. On removing the adherent portion the open mouth of a vessel (which was aiterwards found to be one of the pancreatic branches of the hepatic artery) was discovered. [In the preparation the artery is shown by a piece of whalebone.] Both stomach and mtestme were found distended with a brown grumous matenal with a considerable amount of brown clot. At the cai-diac end of the stomach the mucous membrane was puckered and drawn in two places where there seemed to be old cicatrices.