Catalogue of the Pathological Museum / compiled by J. Coats.

  • Western Infirmary, Glasgow.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Catalogue of the Pathological Museum / compiled by J. Coats. 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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    38. Distention and Ulceration of Large Intestine from Impacted Fish-bones. {Dr. A. Patterson.) A portion of the transverse colon is presers'ed, and it is seen to be greatly distended, while the mucous membrane is con- tinuously altered, being infiltrated and ulcerated ; the wall is also thin in some places, but not perforated. The seat of obstruction was at the sigmoid flexure, there being here adliesion, thickening, and ulceration occup^dng 2 inches of the intestine—viz., the lower part of sigmoid flexure ; the ulcer was a circular one surrounding the intestine, and the adhesion to parts around was so great that it could not be separated with- out tearing. The affected part of sigmoid flexure was greatly displaced, being carried over to the right side, and adherent near right cornu of uterus. In connection with the condition of the intestine two small pieces of blackened fish bone were found—one of them certainly outside the intestine, and the other stated to be inside. The condition of the intestine shown in the preparation affected the whole large intestine above the sigmoid flexure and also the last part of ileum. The patient was a woman aged 47, who had complained for some months of severe abdominal pains, followed by constipa- tion. Path. Reioorts, 19th November, 1881. No. 7^30. 39. Cancer of Ileum. {Br. M'Call Anderson.) The situation of the tumour is about a foot and a-half above the ileo-C£ecal valve; it is nearly circular in shape, and about 2 inches in diameter; its edges are abrupt, and it projects considerably above the general surface. The whole coats of the intestine are involved, but a section at the margin shows that the mucous membrane was the primary seat. The liver was the seat of innumerable large tumours, and weighed 10 pounds 9 ounces. There were also secondary tumours in both kidneys. Path. Reports, 3rd November, 1879. No. 482. 40. Epithelioma of Caput Osecum, with Partial Ob- struction. {Di: Jas. Finlayson.) The tumour involves the whole of the caput, causing great contraction and shortening of it, so that the entire caput is comprehended in a nearly solid mass of limited size. The gut being laid open, nothing is seen of the cavity of the cascum, but in its place there is a prominent rounded tumour about ]| inch in diameter, in the midst of which there is a small aperture leading into a little pouch. Around the tumour the mucous membrane of the colon is folded concentrically. The tumour only involves very slightly the margin of the valve,
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