Gall-stones and diseases of the bile-ducts . able circumstance connected with thisdisease of the liver is its association with generalcystic (congenital) disease of the kidneys, a conditiondue to ectasia of the uriniferous tubules. The cause of this cystic disease in the liver iseven more uncertain than that in the kidneys. This general cystic disease of the liver causesgreat enlargement of the organ, but is painless,causes no jaundice, presents no diagnostic features,and comes invariably as a post-mortem surprise. This curious disease has attracted the attention ofseveral pathologists, includ
Gall-stones and diseases of the bile-ducts . able circumstance connected with thisdisease of the liver is its association with generalcystic (congenital) disease of the kidneys, a conditiondue to ectasia of the uriniferous tubules. The cause of this cystic disease in the liver iseven more uncertain than that in the kidneys. This general cystic disease of the liver causesgreat enlargement of the organ, but is painless,causes no jaundice, presents no diagnostic features,and comes invariably as a post-mortem surprise. This curious disease has attracted the attention ofseveral pathologists, including Virchow, Eokitansky,Bristowe, Still, Shattock, and Rolleston. Blackburn,in a careful and critical paper, has reviewed thevarious theories relating to this disease and collectedthe literature. (2) Solitary (non-parasitic) cyst of the liver.—Thisis a rare condition, and the general character of sucha cyst may be inferred from the specimen representedin Fig. 37. In nearly all the recorded cases the cysts CYSTS ARISING FROM BILE-DUCTS 111. Fig. 36.—A liver in section : the spaces on the cut surface aredilated bile-canals. From a woman aged forty-six years(Museum of the Royal College of Surgeons). 112 DISEASES OF THE BILE-DUCTS grew from the free margin of the liver, and possessedthin walls which were translucent and had no com-munication with the gall-bladder. The peritonealinvestment and the capsule of the liver were directlycontinuous with the cyst wall. On microscopic ex-amination of a large solitary cyst, which I enucleatedfrom the liver of a woman, aged seventy-five years,the cyst wall at the point where it joins the liverexhibited small loculi lined with epithelium; ductscould also be detected lined with cubic cells. Thecyst wall cousisted of fibrous tissue, and its innersurface presented spaces covered with flattened epi-thelium. In some parts of the cyst wall liver-sub-stance was detected. Such a cyst may be filled withstraw-coloured fluid, bile or blood. The solita
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Keywords: ., bookcentury1900, bookdecade1900, bookpublishernewyorkwilliamwood
