. The Richmond and Louisville medical journal. eatedannular constriction could be distinctly recognized as boundariesbetween the single protuberances. After the extirpation of the tumor, one and a half pounds inweight, a large quantity of serum-like fluid, which coagulatedspontaneously, was discharged, after which the nodes collapsed,and only a loose, firmly meshed connective tissue remained,which was permeated by white tendinous strands in various di-rections. Vascularity was not considerable, only two smallarteries had to be ligated; the veins were more numerous, andseveral were varicose. Up
. The Richmond and Louisville medical journal. eatedannular constriction could be distinctly recognized as boundariesbetween the single protuberances. After the extirpation of the tumor, one and a half pounds inweight, a large quantity of serum-like fluid, which coagulatedspontaneously, was discharged, after which the nodes collapsed,and only a loose, firmly meshed connective tissue remained,which was permeated by white tendinous strands in various di-rections. Vascularity was not considerable, only two smallarteries had to be ligated; the veins were more numerous, andseveral were varicose. Upon microscopic examination a networkof anastomosing connective tissue cells, with regular mesh cav- LYMPH CHANNELS. 157 ities, were found in the places of the soft, fluctuating nodes, sur-rounded by elastic fibre strands, between which capillaries withthickened walls and lymph vessels were imbedded. Fat cellswere exceedingly rare in the form of single lobules at the baseof the tumor. Figure 44 represents another view of the growth. Figure Case LXXVIL*—Eosina Geng, aged 32, was of mediumheight, well proportioned, well nourished, never seriously ill,though of weakly constitution. At the age of 19 was com-pelled to abandon service because of a tumor of the externalgenitalia, from which after puncture a watery fluid was dis-charged. She menstruated regularly up to her 25 th year, andgave birth to a healthy child in her 26th year. After the lying-in, menstruation ceased entirely and the skin of the back beganto thicken. The tumor grew rapidly, and in eighteen monthshad attained the size, when first seen by Hecker, as repre-sented in figure 45. The integument was flaccid, dirt fallow, yellowish, and espe-cially from the occiput to the pedicle of the largest tumor muchthickened, grayish and traversed by white lines and somewhatexcavated spots, like the abdomen of women who had givenbirth to children, but was movable and could be elevated into * Carl W. Hecker. Die Elephantiasis
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Keywords: ., bookcentury1800, bookdecade1870, bookidrichm, booksubjectmedicine
