440 ' Remarkable Disease of the Lungs and Kidneys. 



plenra costalis in many parts, and contained a great number 

 of tubercles : the pericardium and heart were natural. 



The liver was rather pale and mottled on its surface, but 

 its internal structure was natural. The ei-iH-bladder was 

 partially filled with bile: the bile-ducts ar.d blood-vessels of 

 the liver were healthy: the spleen, pancreas, omentum, 

 stomach, small and large intestines, were in a healthy state. 

 The descending colon was contracted, and the rectum 

 much dilated, so as to occupy almost the whole cavity of 

 the pelvis; this dilated intestine was filled with faeces of a 

 soft adhesive nature, almost of the consistence ofbird-lime. 

 The internal coat of the bladder was thickened, irregular, 

 ulcerated, and much ii^.flamed, with two calculi lodged in 

 its coats; yet there had not been any symptoms of disease 

 in this organ for several months past. The canal in each vas 

 deferens was completely obliterated, that on the right side 

 by a calculus; and the vesiculce semhiales ivere unusiiaUy 

 small; the prostate gland was also very small. The left 

 kidney was perfcctlv healiliy; the right kidney was rather 

 large, having a wliitisli surface: the euuilgcnt vessels 

 were obliterated at their entrance into the kidney in an 

 inflamed mass : the coats of the ureter near to the kid- 

 ney were thickened, and its canal filled with pus, but 

 nearer to the bladder it u-as obstructed : the posterior sur- 

 face of the kidney formed the boundary on that side to 

 the sac of the abscess, which had burst in the loins: this 

 communicated with a small abscess in the pelves of the kid- 

 ney, in which some calcareous substance was formed. The 

 whole cortical part of the gland was formed into separate 

 abscesses, which had not burst externally, nor did they ap- 

 pear to coranninicatc with each other. 



If the adliesive inflammation had not taken place in the 

 emulgcnt vessels, tho pus must have been conveyed by them 

 into the circulation, and have destroyed life n)uch sooner. 



In this patient, respiration was carried on by the right 

 lunrr only, which was in a.disea>ed slate, and the urine was 

 secreted entirely by the left kidney. The preparations are 

 preserved in mv collection, and may be seen by any person 

 who is desirous of making further inquiries into this in- 

 teresting case. 



On making application to my friend and colleague Dr. 

 Hancock, under whose care this man had been placed be- 

 fore I saw him, I was favoured with the following parti- 

 culars. 



Daniel Lewis had been free from any rem.arkable disease 



for 



