. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . sensitive on pressure. It isfrequently accompanied by enlargement of the spleenand ascites. Gastric disturbances are also more frequentthan in the unilocular cyst, and jaundice is usualh pres-ent. Gastric and intestinal hemorrhages and an effusionof blood into the subcutaneous tissues have occurred. Di.\GNOsis.—Echinoeoecus of the liver is to be differ-entiated from cancer, amyloid infiltration, syphilis, cir-rhosis, and abscess of the liver, and occasionally from


. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . sensitive on pressure. It isfrequently accompanied by enlargement of the spleenand ascites. Gastric disturbances are also more frequentthan in the unilocular cyst, and jaundice is usualh pres-ent. Gastric and intestinal hemorrhages and an effusionof blood into the subcutaneous tissues have occurred. Di.\GNOsis.—Echinoeoecus of the liver is to be differ-entiated from cancer, amyloid infiltration, syphilis, cir-rhosis, and abscess of the liver, and occasionally fromhydro- or pyothorax, from cystic disease of the retro-peritoneal lymph glands, from enlargement of the gallbladder, and from aneurism of the abdominal aorta. Inthe early history of the its differentiation fromother tumors of the liver or its neighborhood is oftenvery difficult. A tumor with the history of slow, pain-less growth, with elasticity, fluctuation, and the peculiarhydatid fremitus, is in all probability an


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