Gall-stones and diseases of the bile-ducts . e cyst wall liver-sub-stance was detected. Such a cyst may be filled withstraw-coloured fluid, bile or blood. The solitary cyst of the liver probably arises fromthe dilatation and fusion of bile-ducts, and it isdifficult to explain its origin. The recorded examplesoccurred in women. It is noteworthy that the liverof many women presents along its free border avariable strip of thin, atrophied tissue, which appearsalmost white in contrast with the dark hue of thenormal liver. This atrophy of the free border ofthe liver is attributed, and probably corr
Gall-stones and diseases of the bile-ducts . e cyst wall liver-sub-stance was detected. Such a cyst may be filled withstraw-coloured fluid, bile or blood. The solitary cyst of the liver probably arises fromthe dilatation and fusion of bile-ducts, and it isdifficult to explain its origin. The recorded examplesoccurred in women. It is noteworthy that the liverof many women presents along its free border avariable strip of thin, atrophied tissue, which appearsalmost white in contrast with the dark hue of thenormal liver. This atrophy of the free border ofthe liver is attributed, and probably correctly, to thepressure of stays. Whether this be true or not, itwas in this pale, thin strip of liver that the solitarynon-parasitic cyst arose in my patient, due tothe dilatation of the bile-ducts in this tissue; thedilated ducts subsequently fuse to form larger spaces, CYSTS ARISING! FROM BILE-DUCTS 113 much in the same way that cystic spaces arise in acavernous nsevus from the fusion of adjacent blood-vessels composing the primary Fig. 37.—A cyst (non-parasitic) growing from the free borderof the liver. Obtained post mortem from a woman aged thirty-eight years (Museum of the Eoyal College of Surgeons). Few special treatises mention the solitary cyst ofthe liver, but a sufficient number of examples havebeen recorded to prove that it is a clinical entityand may require surgical treatment. In the patient 8 114 DISEASES OF THE BILE-DUCTS under my care the cyst contained two pints of straw-coloured fluid and simulated a mesenteric cyst. Onephysician who saw the patient regarded the swellingas an ovarian cyst. In regard to treatment two methods have beenadopted. The common plan consists in opening thecyst, evacuating its contents, and then draining is tedious ; in my case enucleation of the cystwas followed by the best consequences, although thepatient was seventy-five years of age. It is worth notice that multiple cysts of the liveradmit of no treatment, and, as
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