Illustrations of pulmonary consumption, its anatomical characters, causes, symptoms and treatment. With twelve plates, drawn and coloured from nature / by Samuel George Morton.

Date:
1834
Catalogue details

Licence: Public Domain Mark

Credit: Illustrations of pulmonary consumption, its anatomical characters, causes, symptoms and treatment. With twelve plates, drawn and coloured from nature / by Samuel George Morton. Source: Wellcome Collection.

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

    39/230 (page 23)
    ENCYSTED TUBERCLE. appears to have a contemporaneous origin with tlie tubercle itself. This extremely rare coincidence, of which Dr. Louis mentions but a solitary example, has presented itself several times in my dissections, and once in a remarkable manner. Case 3. Enormous encysted tubercle, <§*c.—W. N., a black labourer, aged twenty-six years, with a rounded, full face, but meagre person, was brought into the Alms-house hospital June 29th 1833, in a state of par- tial stupefaction, but complaining of pain in both sides of the chest, and insufferable languor. I could only learn from him that this pain seized him three weeks previous, and was followed by cough and difficult breathing. lie continued with these symptoms for about two weeks, when diarrhoea supiervened and carried him off in a few hours. Jlutopsy, assisted by Dr Postell, five hours after death. Great ema- ciation. Tfwrax. Eight firmly adherent above; the two upper lobes were loaded with tubercular matter in large masses, and mostly in the crude state : that in the superior lobe formed an ovoidal mass the size of a goose-egg, and was surrounded by a distinct, white, cartilaginous cyst, about a line in tliickness : tlie cyst touched the pleura laterally, but was easily separable from it, the pleura itself being much thickened and ad- herent at tliese places. The thin edge of the lung towards the mediasti- num, was filled with tubercles, but the cyst formed a perfectly distinct boundary between them and its owm exmtained ma.ss, which was of a grayish yellow colour, opaque, and mottled with darker points : its upper and posterior portions had already begun to .suppurate, there being a number of small vomicaj that communicated freely with each other. (PI. III. fig. 1.) Left lung. Superior lobe tuberculous, and a small cavity beneath the apex. Bronchial ynucous membrane slightly inflamed. Bronchial glands enlarged. Heart natural. Pericardium full of serum. Otlier organs not examined. Remarks.—I am at a loss to account for such a cyst, nor have I met with any satisfactory ex*])lanation of the phenome- non. It is not unfrequent to observe calcareous concretions