Annual Report of the Supervising Surgeon-General of the Marine Hospital Service of the United States V.8

Cover Annual Report of the Supervising Surgeon-General of the Marine Hospital Service of the United States V.8
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The patient died comatose June I'.").
1880. For sometime prior to his admission the patient had suffered from dysentery and ague, on the lower Mississippi. On the morning of June 2(1, 1880, an diitojisi/ was made. On opening the chest and abdomen, a very large hepatic abscess was found, involving almost the entire parenchymatous structure of the viscus, and in some places enclosed only by Glisson's capsule. The abscess ex- tended up into the chest, pressing the diaphragm before it, and forc- in
...g the middle and lower lobes of the right lung upwards and back- wards against the spine, the lower lobe being collapsed. With the exception of a portion of the right lobe and lobus spiegelii, almost all the parenchyma was broken down and replaced by pus. In an attempt to remove the viscus the abscess broke and discharged its contents into the abdominal cavity, so that it was impossible to measure the pus. The upper lobe of right and the left lung, the heart, spleen, and kidneys were normal.
SPLENITIS.


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