Parasites: A Treatise on the Entozoa of Man and Animals: Including Some Account of the EctozoaCobbold, T. Spencer (Thomas Spencer)
Science
Parasites: A Treatise on the Entozoa of Man and Animals: Including Some Account of the Ectozoa
Cobbold, T. Spencer (Thomas Spencer)
Helminths; Parasites
In the museum at University College, I examined sixteen preparations
of hydatid disease, representing almost as many distinct cases. One
is a wax model. Eight of the specimens were from the liver, five
from the abdomen (including those of the omentum and mesentery), two
from the lungs, and one from the heart. The model displayed ordinary
hydatids of the liver bursting into the lungs. The mesenteric example
is particularly fine, whilst that from the omentum is undergoing
calcareous degeneration. Probably the most interesting of all is the
example showing an hydatid lodged in the septum of the heart. This
was from a middle-aged female, who died suddenly whilst pursuing her
ordinary domestic avocations.
The museum of the Royal College of Surgeons contains a fine collection
of parasites, its chief strength in this respect being due to the
special series of entozoa. Were visitors to judge by the contents of
the catalogue of this series (which I prepared some years ago at the
instance of the Council of the College), they might be led to suppose
that the hydatids were only feebly represented. Out of nine preparations
of hydatids in this section, only six have come from the human body.
However, scattered throughout the collection, I found that there were no
fewer than thirty-five preparations of hydatids belonging, apparently,
to as many as thirty separate cases. Omitting, for the present, all
mention of these derived from animals, I ascertained that, of the
thirty human cases, thirteen were referable to the liver, four to the
abdomen, three to the lungs (one of which was originally connected
with the liver), and two to the brain. Five were of uncertain seat.
With the abdominal cases we may also include one case of hydatids of
the spleen, and another where these organisms were found in the region
of the bladder. There is a characteristic breast case. One of the
original Hunterian cases (in which “a prodigious number of hydatids
were found in the sac of the liver and dispersed throughout the cavity
of the abdomen”) appears, though it is not expressly so stated in the
catalogue, to have been regarded as an ordinary example of abdominal
dropsy. In one of the three lung cases two small hydatids were
separately expectorated at an interval of about a month. This occurred
in a female.
I may here incidentally remark that many cases are on record where
abdominal hydatids have been overlooked, the patient being supposed to
be suffering from ascites. One such instance took place a few years ago
at the Middlesex Hospital. I well remember a similar case of supposed
hydrothorax, where the post-mortem examination revealed the presence
of immense numbers of these formations occupying the right side of the
chest. This case occurred at the Norfolk and Norwich Hospital, at the
time when I was a student there, some thirty-five years ago.
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