OF hydatids; ssi 



" JSTovemher 5, 1807. 

 ''The skin, and the white part of the eyes of a 

 young woman, have a strong yellow tinge. Her 

 abdomen is remarkably enlarged ; and on examin- 

 ation, two large, distinct, moveable tumours are per- 

 ceived, considerably elevated above the surface of 

 the general swelling. One occupies part of the 

 umbilical region, and rises a little above the um- 

 bilicus, is circumscribed, hard, unequal, and some- 

 what moveable. The other is seated in the epi- 

 gastrium, towards the left side ; is uniformly round- 

 ed, immoveable, firm, and elastic. The veins of 

 the integuments covering it are tortuous and enlarg- 

 ed. There is also felt a general hardness along 

 the right side of the belly. She does not suifer 

 pain on motion, or on pressing any part of the ab- 

 domen. General health and spirits little impaired, 

 though she has become considerably emaciated 

 of late. Pulse ninety ; heat and respiration nat- 

 ural ; mouth dry ; tongue clean ; appetite and di- 

 gestion good ; body costive ; feces commonly of a 

 natural colour, sometimes black, never whitish. 

 Urine at times rather scanty ; very dark coloured, 

 and tinges linen of a deep yellow. Six years and 

 a half ago, she caught a fever, by which she was 

 confined to her bed for weeks. During this illness, 

 she could not lie on her right side without pain^ 

 and before her recovery, discovered in the right hy- 

 pochondrium, a ftimoitr of the sizeof a teacup, which 

 was for about a year and a half stationary. Has 



had pain of the right hypochondrium, shooting to 

 36 



