. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . le, who, in a valuable con-ributiou to the literature of cirrhosis, analyzes sixtjases of fatal gastro-intestinal iiemorrhage due to He found that of these, only per cent, showedscites, enlarged spleen, and subcutaneous abdominalarices. Icterus may occur with atrophic ciri-hosis, and not onlyi the color of the liver thereby modified but the adiposessue aud lining membranes of the heart and blood-ves-ilsare also tinted yellow. Fibrous adhesions ab


. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . le, who, in a valuable con-ributiou to the literature of cirrhosis, analyzes sixtjases of fatal gastro-intestinal iiemorrhage due to He found that of these, only per cent, showedscites, enlarged spleen, and subcutaneous abdominalarices. Icterus may occur with atrophic ciri-hosis, and not onlyi the color of the liver thereby modified but the adiposessue aud lining membranes of the heart and blood-ves-ilsare also tinted yellow. Fibrous adhesions about the liver are not uncommon,ssociated with ascites there are frequently oedema and?rous atrophy of the subperitoneal and perinephric adi-ose tissue. Catarrhal inflammations of the stomach auditestines are also frequent iu atrophic cirrhosis, aud iuVol. v.—35 the kidneys there is often found an interstitial inflamma-tion compaitible to that iu the liver. The dimiuiuion in length of the small intestine is a se-quel to atrophic cirrhosis that many authors fail to men-tion; from the usual T to 8 metres, the length is reduced. Fig. .S;^*4.—nrawinirfnin a Section of .\tropbic Cirrhosis, after the Re-moval of the Pareiu-liyma ami Elastic Tissue hy Iiigestii m. Throughthe centre a veilival band of white fltunus tissue extends, aud oueither side the leticuluin, which is also , is well shown,(From the collection of Dr. Oliver, of Chica|?o,) to u or 6 metres or even less. Giatia mentions one case inwhich it was reduced to mcties. The colon is alsoshortened anil both large and small bowel undergo a dim-inution in calibre. The mesentery also becomes short-ened. These changes in the alimentary canal and themesentery are worthy of further investigation. Jli/pertrophic Cinhosiii.—On account of its infrequentoccurrence and the fewer opportunities for studying it,less is known about this form of cirrhosis than about thepieceding. According to Hauot hypertrophic cirrhosiso


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