A system of surgery : pathological, diagnostic, therapeutic, and operative . go, by an oldpupil, Dr. Shumard, who hadremoved it from the body ofa young steer. What rendersit still more interesting is thecircumstance that it was con-nected with the hepatic artery,which had given way at oneside from the rupture, appa-rently, of its inner and middletunics. The tumor, which isof a rounded shape, and nearlythree inches in diameter, isoccupied by hundreds of la-mellae, many of them not thicker than a sheet of paper, of a pale grayish color,closely adherent to each other, concentrically arranged, of
A system of surgery : pathological, diagnostic, therapeutic, and operative . go, by an oldpupil, Dr. Shumard, who hadremoved it from the body ofa young steer. What rendersit still more interesting is thecircumstance that it was con-nected with the hepatic artery,which had given way at oneside from the rupture, appa-rently, of its inner and middletunics. The tumor, which isof a rounded shape, and nearlythree inches in diameter, isoccupied by hundreds of la-mellae, many of them not thicker than a sheet of paper, of a pale grayish color,closely adherent to each other, concentrically arranged, of a dense, firm texture,and, beyond question, thoroughly organized, even those most recently the centre of the tumor, a small irregular cavity exists, which still admittedsome blood, as is proved by the fact that the hepatic artery is completely mode of repair is greatly facilitated by the small size of the opening ofcommunication between the artery and the aneurismal sac. 2. Another mode of spontaneous cure is the occurrence of inflammation, fol-. An aneurismal tumor obliterated by the deposition and organiza-tion of fibrin. CHAP. V. SPONTANEOUS CURE. 683 lowed by the coagulation of the contents of the sac, and the ultimate obliterationof its cavity as well as of the artery in its immediate vicinity. The disease maybegin in the tumor itself, or be propagated to it from the circumjacent structures;if it is mild and slow, the cure may be easy and safe, but, if it is very active,it may terminate in suppuration, and thus endanger life by hemorrhage, the matterbeing evacuated along with the clots before the artery is hermetically sealed byan internal coagulum. 3. The repair occasionally occurs through the intervention of gangrene, eitherbeginning in the tumor itself, or extending to it from the parts immediately around it. The blood coagulates in the sac as it does in an artery ingangrene, and when the sloughs separate the clots are discharged, ttred rdinar
Size: 1905px × 1311px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
