Elements of pathological anatomy . , and intersecting a semi-opake, gelatinoid substance, almost dry, andfree from vascularity. The cavity of the reservoir is often diminished in size,and usually contains more or less albuminous fluid, nearly as transparent aswater, and without the slightest trace of bile. The walls of this reservoir mayalsobe partially transformed into cartilaginous * Western Journ. of the Med and. Phy. Sciences for 1834, p. 521. j Systems Jurisprud. Medics, t. vi., ob. 19. $ London Medical Journal, 1785, vol. vi., p. ~i 1. <$ Western Journal .Med. and Surg., vol. viii., p
Elements of pathological anatomy . , and intersecting a semi-opake, gelatinoid substance, almost dry, andfree from vascularity. The cavity of the reservoir is often diminished in size,and usually contains more or less albuminous fluid, nearly as transparent aswater, and without the slightest trace of bile. The walls of this reservoir mayalsobe partially transformed into cartilaginous * Western Journ. of the Med and. Phy. Sciences for 1834, p. 521. j Systems Jurisprud. Medics, t. vi., ob. 19. $ London Medical Journal, 1785, vol. vi., p. ~i 1. <$ Western Journal .Med. and Surg., vol. viii., p. 250. 67 0 GAl L-BLADDER. calcareous, and even osseous matter. Dr. Baillie mentions an instance wherethey were above a quarter of an inch thick, and studded with large tubercles,of a remarkably firm texture. Hydatids and worms are also sometimes foundin the gall-bladder. Dilatation of these tubes, caused by some obstacle to the egress of the bile,is a common occurrence. (Fig. 176.) Baillie saw the hepatic and choledoch Fiff. ducts nearly an inch in diameter; and Cruveilhier details the particulars of acase where the latter of these passages was of the size of the duodenum. BILE DUCTS—lilLK. 671 instances oi rupture of the biliary ducts are much rarer than those of ruptureof the gall-bladder. M. Campaignac,* however, has related a case in which aman, thirty-five years of age, who had received a violent blow from a carriageon the right hypochondrium, having died eighteen days after the accident, theleft branch of the hepatic duct was found to exhibit, near the lobe of Spigelius, alongitudinal rupture, with unequal borders, capable of permitting the introduc-tion of the end of the small finger. The abdomen contained about six pints of adeep green fluid. The folds of the intestines were united to one another bya half organized false membrane, which lined also the anterior parietes of theabdomen, and other marks of inflammatory action were perceptible.! A number of examples
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