Case of excision of the spleen for an enlargement of the organ, attended with leucocythaemia : in a patient under the care of Dr. Wilks : with remarks / by Thomas Bryant ; reported by R. Eager.

  • Bryant, Thomas, 1828-1914.
Date:
[1866]
Catalogue details

Licence: Public Domain Mark

Credit: Case of excision of the spleen for an enlargement of the organ, attended with leucocythaemia : in a patient under the care of Dr. Wilks : with remarks / by Thomas Bryant ; reported by R. Eager. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    evidence of any organic disease except in the spleen ; that any benefit from medicine was, to say the least, doubtful; and that death was imminent if the disease was left alone. They both regarded the case as a fair one for the removal of the organ. Mr. Bryant then laid the whole question before the patient, telling him of the incurability of the affection from which he was suffering, and of the prospect of an early death if he was left alone. He explained to the man that recovery might be secured by the extirpation of the spleen, and pointed out the dangers and the uncertainty of the operation. The patient, however, readily consented to the suggestion, and much de- sired that the operation should be performed.] 20th.—The operation was performed by Mr. Bryant to-day, in a private room in the hospital, at 2.30 p.m., Mr. Cock kindly rendering assistance. A vertical incision, measuring about five inches in length, was made on the side of the tumour, extending from the cartilage of the eighth rib to the anterior superior spine of the ilium, in the line indicated in the drawing. Fig. 2. The accompanying figure shows the position of the i”oisinn, Sic.