Actinomycosis of the colon, liver, and lung / by R.F.C. Leith.
- Leith, R. F. C. (Robert Fraser Calder)
- Date:
- [1894?]
Licence: Public Domain Mark
Credit: Actinomycosis of the colon, liver, and lung / by R.F.C. Leith. 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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![irregular distribution. The rest of the large intestine appeared to be healthy. There was no obvious obstruction in any part of the large gut, so that the passage for faces was free. These were present in fair quantity, in a somewhat liquid condition, and of a yellowish-brown colour, throughout its whole length. The mucous membrane was quite healthy, except towards the hepatic flexure, where in both the ascend- ing and transverse parts it was a little softened, paler, and discoloured. The softening and thickening soon spread to the whole wall as the gangrenous area was reached. No whitish patches or foci were seen. The small intestine was perfectly healthy throughout. The duodenum, as it lay in such close proxmiity to the liver and hepatic flexure, was most carefully examined, but showed no sign of any abrasion or cicatrisation of its mucous membrane or other change in its wall. The stomach contained a small quantity of light brown granular fluid and small masses of cheesy substance. Its''mucous membrane and wall were healthy. The liver.~T\-iQ lower margin lay to 2 in. below the ribs. The upper surface showed some recent lymph, on the right side, and a few old inflammatory adhesions, uniting it to the under surface of the diaphragm. It was of a markedly yellow colour, except near the anterior border of the rio-ht lobe, where it was greenish black. On raising this border, the part of tlie under surface adherent to the colon came into view, and presented a pecuUar appearance. It was of a deep black colour, showing small, closely-grouped, white nodules which, on being pricked, were seen to be abscesses The outer surface of the right lobe of the organ was firmly adherent to the abdominal wall for an area of f in. in length and rather less in breadth. On cutting it away a number of mmute abscesses with pigmented walls were cut across Ihe appearance thus closely resembled that seen on its under suriace, but the pigmentation was not so extreme The abdominal wall was implicated in part of its thickness onlv the peritoneal and most internal muscular layers alone being inhltrated. Ihere was a considerable amount of old inflam matory tissue on the under surface of the right lobe where it came m contact wit], the suprarenal capsule and sumundi,](https://iiif.wellcomecollection.org/image/b21467626_0011.jp2/full/800%2C/0/default.jpg)
