'Common' cirrhosis of the liver : an analysis of 121 cases / by T.N. Kelynack.

  • Kelynack, T. N. (Theophilus Nicholas), 1866-1944.
Date:
[1897]
Catalogue details

Licence: Public Domain Mark

Credit: 'Common' cirrhosis of the liver : an analysis of 121 cases / by T.N. Kelynack. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    4/10 (page 2)
    alcoholic cases. Desirable as such a grouping may be, I am convinced that, as generally used, it is most unsatisfactory and often misleading. I am quite willing to admit that a coarse cirrhosis sometimes appears in seemingly non-alcoholic subjects. In most of the cases, however, which have come under my ob- servation the patients had either a clear alcoholic history or presented circumstantial or pathological evidence of alcoholism. Causes of Death.—Oi the 121 cases 60 appeared to be fatal directly from the effects of the hepatic cirrhosis. No less than 15 seemed to have died directly from tuberculosis, 12 had tubercular peritonitis. Acute lobar pneumonia occurred in 5. A number of deaths were due to cardiac involvement. Several died from htematemesis, epistaxis, and cerebral haemorrhage. In one case I found the stomach distended with blood, although none had been ejected from the mouth. Rupture of aneurysm occurred in 2. Malignant disease was present m one case. Haemorrhagic nephritis was also marked in one. Diabetes mellitus occurred in one case. Secondary pneumonia was present in several. I have also met with malignant endocar- ditis in association with marked hepatic cirrhosis. Of the 121 cases 82 were males and 39 females. The relation of males to females is thus seen to be about 2 to i. As the accommodation of our hospital for medical female cases is somewhat less than that for males, these numbers are of but limited value as indicating the true proportion between the S6X6S. _ l'he actual age was ascertained in io8 of the cases, ,3 Lies and 35 females. The remainder were all adults. Result of analysis MALE. FEMALE. - 68 years - * 65 years. - 19 „ • - ^9 >* /wciagt - • 45 5 i> ^ V • .4tr,V«.-Dropsical accumulation in the peritoneal cavity was present m 68 cases, 47 being males and 2. femaks^ In the majority the ascites was considerable. Many had been AGE. Oldest Youngest - Average