A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
The adult or third stage of development, can only be attained within the
intestinal canal of the dog or wolf. These animals devouring a sheep or
other ruminant, or in some rare case perhaps a human being, within which
the hydatid has been formed, the cysts thus taken into the stomach,
develop into the perfect worm, from which segments containing the eggs
are again discharged.
It would appear almost impossible for the embryo from these eggs, to
ever enter the human stomach, but it is not difficult to understand that
the fæces of the dog containing the ova, may enter a spring or stream,
from which the minute embryo may be taken with the water, by either man
or a lower animal; or, by attaching themselves to watercresses, etc.,
they may be eaten with these by the same.
_Hydatid tumors_ of the liver, may vary, greatly, in size, according to
their age. From an extremely minute cyst, they may acquire such a size
as to fill and distend the abdominal cavity, crowding the several
viscera from their position. There may be one or several. They may be
confined to the liver, or secondary cysts may appear in other organs.
When opened, the interior is generally filled with numerous smaller
cysts of various sizes, each filled with a gelatinous fluid of varying
degrees of density and color, and within which, by a careful microscopic
examination, may be detected—many times, not always—numerous hooklets,
which have been detached from the minute heads. The walls of the parent
cyst may become greatly thickened, or even calcified. The contents may
degenerate into a purulent mass, with which may be mingled blood or
bile.
The development of these tumors is usually slow, and unattended with
pain, or functional disturbance of the liver. After they have acquired a
large size, they may induce peritonitis, resulting in extensive
adhesions.
Rupture of these hydatids sometimes take place, this accident being
followed by death, or recovery, according to the point at which the
rupture takes place. They may burst in the following directions:
1. Through the diaphragm into the pleural cavity, or into the substance
of the lungs.
2. Rarely into the pericardium.
3. Into the peritoneal cavity, resulting in acute peritonitis.
4. Through the abdominal walls, when recovery is possible.
5. Into the stomach or intestines; this being the most favorable point
of rupture. In fifteen cases of rupture into the intestines, fourteen
recovered.
6. Into the biliary passages or large blood-vessels.
CASE.—_Large Hydatid Tumor of the Liver—Death from Exhaustion._
Mr. O——, of this city, aged 75 years, noticed some two years previous
to his death that his abdomen was enlarging. An examination disclosed
the presence of a large tumor descending from the region of the liver.
It was slightly fluctuating, and unattended with pain or soreness. He
complained of nothing but weakness with vertigo. All the functions of
the body were natural.
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