Researches on phthisis: anatomical, pathological and therapeutical / by P. C. A. Louis.

  • Pierre Charles Alexandre Louis
Date:
1844
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Licence: Public Domain Mark

Credit: Researches on phthisis: anatomical, pathological and therapeutical / by P. C. A. Louis. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    analysed in this work, did tlie snbmncous or muscular tissue of the bladder exhibit appreciable organic changes. The same is true of sixty other cases observed, subsequently, at the Hospital of La Charite; but two hundred subjects opened since that period, and whose vesical mucous membrane was carefully de- scribed on the spot, furnished two examples of tuberculous ulceration of the organ. One of these occurred in the case of a man, aged thirty-five, who died at the Hospital of La Pitie, a few days after admission, and without my having been able to ascertain the duration of his illness. The bladder was of the size of the clenched fist, contained turbid reddish urine, and exhibited, internally, an uneven surface, of yellowish white colour, and without a trace of mucous membrane; the form was that of a curvilinear triangle, the base of which, turned back- wards, measured from about two to two and a third inches [50 to 60 millimeters], while the height was less by half. The matter forming the fundus of the ulceration had all the cha- racters of tuberculous matter, and measured about one line [2 millimeters] in thickness. Underneath were found tubercu- lous granulations, of a diameter of nearly a line [2 millimeters] and the intervening cellular tissue was perfectly healthy. The cases I collected at the Hospital of La Charite, subse- quently to the appearance of my former edition, corroborate the statement just made of the rarity of tubercles of the kidney. In two instances only, in truth, out of fifty cases examined, did I find tubercles in these Adscera, or in the supra-renal capsules. These tubercles were crude, spherical, and few in number; and at the upper part of the left kidney I found, in one case, a gray semi-transparent matter, continuous with a yellow blackish substance, of the size of a walnut, softened, areolar, and containing a yellowish clear-coloured fluid in its centre. Again, of thirty bodies, most of them of males, carefully exa- mined at the Hospital of La Pitie, not one presented either tu- bercles or gray semi-transparent granulations in the kidneys. This result harmonizes with the statements of M. Rayer, in his great work on ' Diseases of the Kidneys J while he there affirms that renal tubercles are less rare than is generally be- lieved, he observes that they are far from being of frequent occurrence.