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Updated: May 13, 2025
Hæmorrhage from the stomach and intestine, attended with a brown or black discoloration of the vomit and of the stools, is one of the best known examples: it is not uncommonly met with in infective conditions originating in the appendix, intestine, gall-bladder, and other abdominal organs.
The right ventricle of the heart was empty, and the left filled with dark blood, which had coagulated. The liver and kidneys were healthy, and the gall-bladder very much distended with bile. The intestines presented a few livid patches on the outside. Hydrophobia.
They had also sold three rhinoceros horns, as well as stones from the gall-bladder and intestines of monkeys and the big porcupine, all valuable in the Chinese pharmacopoea. Each kilogram of rhino horn may fetch f. 140. These articles are dispensed for medical effect by scraping off a little, which is taken internally with water.
This hypothesis explains certain gall-bladder phenomena likewise, indigestion, loss of weight, disturbed functions, etc., and it may supply the explanation of the disturbance caused by an active anal fissure, which is a potent noci-associator, and the consequent disproportionate relief after the trivial operation for its cure.
Lewaschew and Klikowitch, from experiments upon dogs, conclude that the use of ordinary alkaline mineral waters was to increase the quantity of bile and to make it more fluid and watery. This increased flow is beneficial in clearing out any bile stagnating in the gall-bladder.
A piece of liver weighing 500 grams was removed, and with it the gall-bladder, and the patient made an uninterrupted recovery. Tricomi reports a case in which it was found necessary to remove the left lobe of the liver. An attempt had been made to remove a liver-tumor the size of a fist by constricting the base with an elastic ligature.
Blows on the abdomen are prone to cause death from cardiac inhibition. 12. =Of the Liver.= May divide the large vessels. Venous blood flows profusely from a punctured wound of the liver. Wounds of the gall-bladder cause effusion of bile and peritoneal inflammation. Laceration of the liver may result from external violence without leaving any outward sign of the injury; it is commonly fatal.
This autopsy led to the incomprehensible discovery in the gall-bladder of three nails with black heads, angular and polished, of an unknown metal; two weighed as much as half a French gold crown, within seven grains; the third, which was as large as a nutmeg, weighed five grains more.
The intrusion of a gall-stone into the common bile-duct from the gall-bladder is sometimes mistaken for a pain of the stomach, as neither of them are attended with fever; but in the passage of a gall-stone, the pain is confined to a less space, which is exactly where the common bile-duct enters the duodenum, as explained in Section XXX. 1. 3.
The calculi in this case consisted chiefly of phosphate of magnesium and ammonium. Cordier of Kansas City, Mo., successfully removed a renal calculus weighing over three ounces from a woman of forty-two. The accompanying illustration shows the actual size of the calculus. At the University College Hospital, London, there are exhibited 485 gall-stones that were found postmortem in a gall-bladder.
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