Manual of pathological anatomy . nder our own observa-tion ; it is the more remarkable as it presents the only instance ofapparently idiopathic ulceration of the trunk of the vena portsethat has been published. It occurred in J W ,* a labour-ing man, a patient of Dr. Alderson, at St. Marys Hospital, who^seventeen days previous to admission, was seized with a shiveringfit; since then he had suffered from rigor, followed by heats andperspirations, at irregular intervals. On the 1st of October, 1852,a fortnight after admission, the skin is first reported to have beensomewhat jaundiced, the pulse
Manual of pathological anatomy . nder our own observa-tion ; it is the more remarkable as it presents the only instance ofapparently idiopathic ulceration of the trunk of the vena portsethat has been published. It occurred in J W ,* a labour-ing man, a patient of Dr. Alderson, at St. Marys Hospital, who^seventeen days previous to admission, was seized with a shiveringfit; since then he had suffered from rigor, followed by heats andperspirations, at irregular intervals. On the 1st of October, 1852,a fortnight after admission, the skin is first reported to have beensomewhat jaundiced, the pulse eighty-eight, tongue coated, loss ofappetite, a burning sensation at the top of the sternum, with greatdepression of spirits. The yellow tinge of the skin continued, andthe fits were fewer in number. On the 11th, the dulness of thehepatic region was found increased, and the stools are noted tohave been dark. On the 18th, the skin was less yellow, the per-cussion of stomach and colon was tympanitic—no pain—no increase Fut Section of liver exhibiting- the appearances presented in inflammation of the vena portse. in the hepatic dulness. The shivering fits now returned morefrequently, pleuritic symptoms supervened, the patient becamemore and more weak, more jaundiced, and drowsy, and sank onthe 24th of October, 1852. In the thorax, the deposit of freshlymph on the lower edge of the right lung was all the evidence of * The case is abridg-ed from the records of St. Marys Hospital. INFLAMMATION OF VEINS. 405 recent disease to be found. The lungs, the heart, are noted asbeing healthy, so also the kidneys and the brain. The liver wasfound much enlarged and dark coloured, feeling soft at manypoints ; on removing it from the body, about two or three ouncesof purulent matter escaped from the portal vein ; the organ, at thesame time, shrinking under the hand. On incising the liver,numerous bright yellow circumscribed spots appeared, closelyresembling abscesses ; they varied in size
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectanatomy, booksubjectp
