108 COMPLICATION OF CIRRHOSIS. 



between the liver and the diaphragm, and between the 

 intestines and the walls of the abdomen, and these also 

 were traversed by large veins conveying blood from the 

 portal vein into the general venous circulation. 



COMPLICATIONS. Irrespective of the diseases of the 

 liver, we often encounter affections of other organs of the 

 body which are sometimes independent of the hepat it- 

 disorder, but at other times are closely or remotely con- 

 nected with it. To the former belong the deposit of 

 tubercles, and emphysema of the lungs ; diseases of the 

 heart, carcinoma, delirium tremens, a Janlaceous spleen, 

 syphilitic affection of the bones, lardaceous deposit in 

 the kidneys, and the niorbus Bright! of drunkard-. 

 To the latter belong pneumonia, pleurisy, peritonitis, 

 dysentery, haemorrhage from almost every part of the 

 body, ascites, and aoi 



M. Hanot, in his tin-sis (December, 1875), states that 

 he has made <.ut. by careful investigations at the Hopital 

 Cochin, in 1'aris. a peculiar kind nf hypertrophie 

 eirrhosisof the liver, present iiiLrthe follnwin. 

 extra-lolmlar and extensive cirrhosis without any ten- 

 dency t<- :.in <f the conjunctive tissue of new 

 formation; and .ies intra-lobular cirrhosis 

 abnormal development and chronic catarrh of the biliary 

 ducts. 



SY.MiTnMATic-Ai.LY. It is characterized by chronic 

 jaundice depending on the obliterations of the biliary 

 caualiculi, and by a considerable hypertrophy of the 

 liver without ascites, or the abnormal enlargement of the 

 subcutaneous veins of the abdomen which is obse 

 in ordinary cases of cirrhosis. The affection may 1 

 long time, but sometimes ends in the acute malady called 



