160 Case of Diseased Pancreas. 



in breadth four, and in thickness two and a half inches. 

 Its whole texture was schirrous, save in the centre, 

 where there was a large collection of chocolate- coloured 

 matter. At the larger extremity was a cyst, containing 

 a tliin fluid, about the quantity of two ounces, resem- 

 bling urine discoloured with blood, the coat of the cyst 

 being about the thickness of a healthy urinary bladder. 

 To the whole upper or left side of the Pancreas was at- 

 tached a portion of mesentery, in consequence of inflam- 

 mation, to which a part of the colon and caecum were 

 connected. The adhesions were very extensive. Its 

 upper extremity was attached to the under surface of the 

 liver ; its right surface to the integuments of the abdo- 

 men ; its lower extremity partly to the right kidney, and 

 partly to the cavity of the pelvis ; and its lower side firm- 

 ly to the right side of the spine. 



The right kidney also, in consequence of its compres- 

 sion by the Pancreas, was inflamed and schirrous, having, 

 in the centre, an abscess containing a quantity of 

 bloody pus; this was attached, by inflammation, to the 

 lumbar vertebra, and to the brim of the pelvis. The 

 bladder appeared considerably less than natural ; its coats 

 were exceedingly thickened; and, upon opening into it, 

 the cavity was so much lessened, as scarcely to contain 

 two drachms of fluid. The other viscera, in general, 

 were free from any appearance of disease, but the sto- 

 mach and intestines were all distended with air, except 

 which they appeared to contain nothing. 



May 1th, 1807. 



