282 OF HYDATIDS. 



the right shoulder, and more lately oedema of the 

 legs. General swelling of belly has come on grad- 

 ually. She lingered for six weeks under Dr. 

 Homers charge. 



^^ Dissection. The integuments of the abdo- 

 men were found to be very thin over the large tu- 

 mour in the epigastric region, which was filled by a 

 large quantity of yellowish limpid fluid. 'The sac 

 containing this fluid, being laid open from end to 

 end, was found to consist of two coats, the external 

 of a dense and firm texture, the internal thick but 

 very tender, of a light yellow colour, very elastic, 

 and adhering; loosely to the external cyst. ' From 

 the inner surface of this internal membrane, there 

 were numerous distinct masses of cauliflower ap- 

 pearance, varying much in size, of a beautiful 

 whiteness on the surface, and were yellow and ge- 

 latinous internally.' 



^^ The fluid in this sac appeared to contain nu- 

 merous very minute hydatids. 



^*This tumour was situated within the sac of the 

 peritonaeum, and adhered pretty generally to that 

 membrane. * Tlie tumour was entirely connected 

 on one side with the left lobe of the liver. The 

 tumour, which was during life felt at the umbilicus, 

 was found to consist of two lobes, a larger and a 

 smaller, of the same appearance as the former tu- 

 mour, to which it was connected by a production of 

 the left lobe of the liver, but no communication sub- 

 sisted between the cavity of the first sac, and this 

 tumour, when cut into/ 



