File:Clinical lectures and essays on rickets, tuberculosis, abdominal tumours and other subjects (1895) (14757806586).jpg

Identifier: clinicallectures00jenn (find matches)
Title: Clinical lectures and essays on rickets, tuberculosis, abdominal tumours and other subjects
Year: 1895 (1890s)
Authors: Jenner, William, Sir, 1815-1898
Subjects: Clinical medicine Tuberculosis Rickets Clinical Medicine Tuberculosis Rickets Abdominal Neoplasms
Publisher: New York : Macmillan
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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Fig. 1, from a photograph, shows the anterior aspect of the abdomen. disease of the kidney, by the ovary, or by the mesentericglands. No matter what the disease affecting the parts Ihave mentioned might have been, neither could have causedsuch a marked prominence in the back as is represented inthe photograph (Fig. 2), and neither liver, kidney, normesenteric glands could have descended, as this tumour did, 276 EXTRAPELVIC TUMOURS OF THE ABDOMEN into the pelvis. On making an examination per vaginam,we found that it passed down on the right of the pelvis, andpushed the uterus to the side. Again, a diseased massoriginating in the ovary or in the mesenteric glands, would, ere
Text Appearing After Image:
(Fig. 2 shows the posterior projection. it had attained so large a size as this, have spread more to theleft. The tumour in this woman scarcely passed the middleline. Note then in regard to this tumour these two facts—1. The projection backwards, between the crest of the iliumand the last rib: 2. The small extent to which it passed beyond ABDOMINAL ENCHONDROMA 277 the middle line in front. We thus excluded, without refer-ence to the history, simply from the present condition, allenlargements of the liver, the kidney, the ovary, the mes-enteric glands, in fact all possible abdominal viscera, as thecause of the tumour. The intestine was in front of themass—of the left side of it, at any rate. This fact, conjoinedwith the history which I have read to you, the account ofwhere it began, together with the above reasons for excludingabdominal organs as its cause, indicated that the tumour waspost-peritoneal in origin, that it arose behind the peritoneum.Having come to the conclusion that

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