Descriptive catalogue of the pathological specimens contained in the museum of the Army Medical Department, Netley / by Sir William Aitken.
- William Aitken
- Date:
- 1892
Licence: Public Domain Mark
Credit: Descriptive catalogue of the pathological specimens contained in the museum of the Army Medical Department, Netley / by Sir William Aitken. 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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![Both lungs were found to be studded with niiHarv tubercle, and he died hectic on 9t]i June, 184-5. Section ot' liver presented a nutmeg appearance, the gall-bladder was filled willi black viscid bile resembling tar, and convex surface of liver adhered firmly to the diaphragm. Donor—Dr. AVilliamson, Staff Asst.-Siirg, BILIARY ABSCP]SSES. 1253. Section of a liver showing small abscess cavities, and bile-stained broken-down liver structm'e. These small necrotic centres extended throughout the whole substance of the liver, varying in size from a No. 6 shot, to a large pea; and in many places coalescing to form large irregular-shaped cavities, one of which, 1^ inch in diameter, had burst through the capsule of the liver, causing death by peritonitis. From Private Allen, aged 28, Medical Staff Corps, No., 7248, who died of jaundice, at Netley, 1st March, 1891, after eleven days' illness. His service was altogether—at home from 27th February, 1886—four years. Admitted on l7th February, suffering slightly from jaundice. He stated that he was perfectly well on the previous day, but woke up in the morning, and observed his yellowness. He had no pain, and had slept well. On examination, the liver was found slightly enlarged, but there was no tenderness whatever. He improved during the first five days—the jaundice slowly disappearing. On the 23rd, he complained of thirst, and of having passed a restless night, but suffered still no i^ain. The liver was now found to be very much enlarged, and he commenced to suffer from diarrhoea, passing seven or eight stools daily, pale in colour, and containing masses looking like curdled milk. Temperature 99 6° Fahr., tongue dry at edges, and coated with a thick yellow fur. The temperature continued to vary from between 101° Fahr. in the morning, and 104° Fahr. in the evening, xip to the 28th February, the other symptoms remaining about the same. His typhoid condition became more marked, and he died on the morning of 1st March—the temperature on tlie previous night having risen to 104*8° Fahr, ; at 3 a.m., it had fallen again to 101° Fahr., two hours before death; and after death, it rose to 102° Fahr. He was a well-nourished muscular man, weighing 9 stone 8 lbs. After death, the surface of the liver was seen to be covered with a thin layer of greenish-coloured lymph. The peritoneal cavity contained 3 ozs. of yellowish, opaque, puriilent fluid. The liver was so much enlarged, as to extend 5^ inches below the ensiform cartilage. The gall-bladder was much thickened, and contained a quantity of yellowish-colouied semi-eolid matter like clay, and 16 gall-stones— two of which were about the size of small cob nuts. The gall-stones were generally of a brown colour, smooth and friable, and evidently composed of a mixture of cholesterine and pigment. The surface of the liver was smooth, but slightly and irregularly tuberculated. Transversely it measured 12*2 inches in thickness (greatest) 3 7 inches; and antero-posteriorly 11*5 inches. Its weight was 8 lbs. 12 ozs. The upper portion of right lobe was soft and pulpy—the softened part about the size of a child's head. Two small excavations into this softened part existed, each about the size of a walnut, in the upper and anterior aspect. The walls of thuse abscess-like cavities are formed of bile-stained broken-down purulent liver substance, and the colour of the liver-capsule was mottled in patches of greenish yellow, A section through both lobes of the liver, showed many broken-down gangrenous patches of a bright green colour. These small necrotic centres extended throughout the entire substance of (5692) 2 A](https://iiif.wellcomecollection.org/image/b24759028_0363.jp2/full/800%2C/0/default.jpg)
