. Transactions of the Pathological Society of Philadelphia . ers 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 diaphragm. Everywhere pro-jecting from the surface were small and large nodes. In removing theorgan one of the small ones became detached from its position and leftaEsmoo
. Transactions of the Pathological Society of Philadelphia . ers 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 diaphragm. Everywhere pro-jecting from the surface were small and large nodes. In removing theorgan one of the small ones became detached from its position and leftaEsmooth-walled cavity lined with a fibrous capsule. On section thesenodes resembled exactly the large abdominal growths. The liver weighedover eleven pounds. The gall-bladder was stained a bright yellow, butwas otherwise normal (Fig. 2). Spleen was normal. Kidneys were markedly congested, otherwise of healthy lungs were normal except the lower lobe of the right, which wascompressed by the enlarged heart was healthy in structure. Fig. Anterior surface of liver, showing nodes of secondary deposit. From the intestines was obtained a medium-sized tapeworm—thetsenia mediocanellata or beef-worm. Unfortunately, the exact seat ofthe worm was not determined. On microscopical examination the tumor proved to be a round-celledsarcoma, The case is interesting clinically and pathologically; clinically, fromthe great size attained by this omental mass without the production ofany marked symptoms of distress, from the entire absence of pain, andfrom the absence of emaciation or cachexia. Pathologically, the case isof interest from the rarity of sarcomata in this situation, and from thesize of the tumor itself, and the liver. December 12, 1889. 28 THE DIGESTIVE SYSTEM. 9. Gall-stone, occlusion of the cystic duct, false passage from the gall-bladder into the duodenum, and imdtiple hepatic abscess. Exhibited by Dr. A. V. Meigs. The patient, a woman set. 40 years, was adm
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