. Diseases of the gall-bladder and bile-ducts, including gall-stones . dule in liver; D, cystic duct. (Trans. Roy. Med. and Chir. Soc,vol. lxxix.) the gall-stone so as to get well beyond the growths, retrac-tion being prevented by two knitting-needles pushed throughthe projecting liver. The projecting portion was then cut away; it includedliver, gall-bladder, and part of the cystic duct, and weighedhalf a pound. Recovery was uninterrupted, and the tempe-rature never reached ioo°. The growth, on examination byMr. J. W. Haigh, was reported to be epithelioma. The caseis fully reported in the seve
. Diseases of the gall-bladder and bile-ducts, including gall-stones . dule in liver; D, cystic duct. (Trans. Roy. Med. and Chir. Soc,vol. lxxix.) the gall-stone so as to get well beyond the growths, retrac-tion being prevented by two knitting-needles pushed throughthe projecting liver. The projecting portion was then cut away; it includedliver, gall-bladder, and part of the cystic duct, and weighedhalf a pound. Recovery was uninterrupted, and the tempe-rature never reached ioo°. The growth, on examination byMr. J. W. Haigh, was reported to be epithelioma. The caseis fully reported in the seventy-ninth volume of the Med. and Chir. Soc. (Figs. 36 and 37). 9 130 DISEASES OF THE GALL-BLADDER AND BILE-DUCTS Case 2 (No. 201).—Mrs. H., aged fifty-two, gave a history ofrepeated severe attacks of pain in right hypochondriac regionduring twelve months, sometimes followed by this there had been attacks of spasms for someconsiderable time, A month before coming under treatmenta swelling was noticed under the right costal margin. The. x. - --- 1#V- *c p.* <f Fig. 37.—Microscopic Section of the New Growth. (Hartnack Obj.,No. 4, oc. 3 = x 120. Drawn by J. W. Haigh.) i, 1, 1, Connective tissue of alveolar walls; 2, connective-tissue nuclei; 3, epi-thelial cells, somewhat squamous in appearance; 4, 4, nuclei of ditto;5, smaller rapidly-growing cells of basement layer , 6, 6, degeneratedepithelial cells in which the nuclei have disappeared. patient had been losing weight and strength for severalmonths, and was suffering from slight jaundice, whichbecame intensified after each attack of pain, these seizuresbeing followed by a feeling of chilliness with some was quite easy to make out an enlargement of the rightlobe of the liver with a distended gall-bladder on its inner TUMOURS OF THE GALL-BLADDER AND BILE-DUCTS 131 side. The abdomen was opened through the right semilunarline on November 27, 1897, and the gall-bladder was foundenormously
Size: 1490px × 1677px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookpublishernewyorkwilliamwood
