Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and PancreasHarley, George
Science
Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and Pancreas
Harley, George
Jaundice
Sixthly,--The liver was small in size, excessively dense, and very
heavy. Externally, it had a dark olive hue, and on section presented a
most curious appearance. The section was of an almost uniform
yellowish-green colour, and studded over with excavations (Plate I.,
_b_), from which thick bile streamed in all directions. The apparent
excavations were nothing more or less than immensely distended ducts.
On looking into the ducts, it was observed that they presented the
appearance of possessing valves. On microscopical examination, the
hepatic cells were found smaller than normal, as if partially
atrophied. The nuclei were unusually well marked, in consequence of the
fat granules being almost entirely absent. (Fig. 8, _b_.) In the field
of the microscope were a number of caudate or spindle-shaped cells
(Fig. 8, _c_.), from the epithelial lining of the ducts. In the hepatic
tissue were found some beautiful {86} stellate crystals, as well as a
number of separate needles of tyrosine. A few small crystals of cystine
were also found. (Fig. 8, _a_.)
[Illustration: FIG. 8.]
Seventhly,--The kidneys were enlarged, pale, and fatty-looking; and all
over the surface of the section, as well as immediately under the
capsules, which were very loosely attached, were small abscesses. The
surface was also studded with numerous minute dark bile-pigment points,
and it is possible that the abscesses were the result of the blocking
up of the capillary vessels by the pigment deposit, as previously
alluded to, page 57.
Eighthly,--The head of the pancreas was considerably enlarged, and on
cutting into it, a quantity of pus oozed out from an abscess in its
interior. The abscess was found to communicate with a large ulcerated
spot in the duodenum. (Plate I., _f_.) On microscopical examination,
the {87} tumour of the pancreas was found to consist of an hypertrophy
of the normal gland tissue, being, in fact, a chronic inflammatory
tumour of the gland substance.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account