. Transactions of the Pathological Society of Philadelphia . ive—no albumin, sugar, or casts. Thus the case continued; the patient emaciated little, if any; hisgeneral health was fair; he often required purgatives, and felt comfort- 26 THE DIGESTIVE SYSTEM. able after thorough evacuation of the bowels. During the last week oflife he lost flesh rather rapidly, and died suddenly, apparently in greatpain, after a few hours unconsciousness. Autopsy.—Body of a fairly well preserved white man. Abdomen tenseand distended. Bluish-green discoloration over abdomen. At once, onopening the belly, a large
. Transactions of the Pathological Society of Philadelphia . ive—no albumin, sugar, or casts. Thus the case continued; the patient emaciated little, if any; hisgeneral health was fair; he often required purgatives, and felt comfort- 26 THE DIGESTIVE SYSTEM. able after thorough evacuation of the bowels. During the last week oflife he lost flesh rather rapidly, and died suddenly, apparently in greatpain, after a few hours unconsciousness. Autopsy.—Body of a fairly well preserved white man. Abdomen tenseand distended. Bluish-green discoloration over abdomen. At once, onopening the belly, a large pinkish-white, markedly furrowed and lobu-lated mass was exposed. The larger part of this extended from thepubes (with a small prolongation extending to the brim of the pelvis)to the ensiform cartilage. There was an adhesion to the abdominal walljust above the pubes. Above, the mass was seen to depend from thegreat omentum, at the root of which was attached a smaller mass. Thesetwo portions involved the omentum alone and were not connected with Fig. Omental sarcoma—the larger mass being in the body of the omentum, the smaller at its attachment. any of the neighboring structures except by a few inflammatory they weighed thirteen pounds (Fig. 1). On section they werefirm, about the consistency of a fibroid tumor, and of pinkish-white the centre of the larger growth was a cavity the size of a large apple,containing a little whitish watery fluid. A mass was also found attachedto the peritoneal covering of the sigmoid flexure. This presented theappearance and structure of the others and was the size of a large third growth filled the cavity of the pelvis and was attached to therectum and partly to the bladder. This was contiguous to the abdom-inal growth but not at all connected with it. A fourth was attached tothe ascending meso-colon, and adhered to the abdominal wall. THE DIGESTIVE SYSTEM. 27 The liver was slightly adherent to the diap
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