Publisher's Synopsis
Excerpt from The Lancet, 1831-32, Vol. 2 of 2
The vomiting which took place before she died was of the same description as that which occurred when she came in, and arose from an in?ammatory state of the peritoneum. The peritoneum, as you see in this specimen, had been in a severe old ia ?ammatory state, there being lymph effused on the surface of the liver. You see that the peritoneal coat of the organ had become quite white from the effusion of lymph, and you see that there are long strings, bands, and adhesions, on the surface. You observe these marks on the concave, as well as on the convex, surface. The liver altogether is of a very large size, but not larger than you might have expected, because it could be accurately felt during life. I do not see, generally Speaking, any disease ofthe organs, except an increased growth and hardness. There is no formation of tubercles, no new deposition of any sort, but the substance of them has become very hard. It is hardly worth while for you to dirty your fingers to feel it, but on perceive that it is hard throughout, tom the difficulty with which I make the least indentation upon it. It is so exceedingly hard, that it is almost im possible to make an indentation. On mak ing this free section, you see that the peri toneal coat has become thickened, that it is much thicker than it should be.
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