On dilatation of the lacteals / by T. Grainger Stewart, M.D.

  • Stewart, Thomas Grainger, 1837-1900.
Date:
[1863]
Catalogue details

Licence: Public Domain Mark

Credit: On dilatation of the lacteals / by T. Grainger Stewart, M.D. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    ON DILATATION OF THE LACTEALS. By T. GRAINGER STEWART, M.D., F.R.C.P., PATHOIXXHOT TO THE ROYAL INFIEMAEY; LECTDEER ON GENEEAL PATHOLOaY AND PATHOLOGICAL ANATOMY, EDINBURGH. Reprinted from the Edinburgh Medical Journal, November 1863. The peculiar lesion wliicli I propose to describe is one of so rare occui-rence that I do not find it mentioned in any English work on morbid anatomy, though it was referred to by Rokitansky in his last edition. I shall first describe the case in which it occurred, and then explain my view of its nature. S. M., a man ait. 60, was examined August 28, 1863. The body was very cedematous, the heart was hypertrophied and fatty, the aortic valves much diseased, and covered with vegetations. The auriculo-veritricular orifices were dilated, and the valves dis- eased. The coronary arteries were tortuous and atheromatous. The aorta contained some calcareous plates and patches of atheroma. The pleurte were adherent—the adhesions very cedematous. The lungs were emphysematous in front, cedematous posteriorly, and contained some patches of pulmonary apoplexy. The liver was much congested, and somewhat cirrhotic—the hepatic venous radicals were dilated :—it weighed 52 oz. The capsule of the spleen was thickened. The right kidney was natural, excepting an old cicatrix. The left contained several cysts, none of large size. The two organs weighed 16 oz. The stomach was dilated. The muscular layer was hypertrophied in the neighbourhood of the pylorus. Tlie mucous membrane was extremely congested, and in some parts ecchymosed. Towards the cardiac end there were patches of a yellowish colour, perhaps results of old exti-avasation. The intes- tine throughout its whole extent was congested. In many parts the small veins formed little prominences above the surface. There was a polypus in the ascending colon. Scattered throughout the whole small intestine was a number of whitish-yellow patches, varying in size from that of a pin-head to that of a small bean. Some were granular on the surface, and evidently connected with