TOL. XL.] PHILOSOPHICAL TRANSACTIONS. 22Q 



favour the coming out of the large flakes and lumps of jelly, obturating at 

 times this orifice. During this day the discharge was very great, and at night 

 about a pint more of the same matter was emptied. 



From this time a short and thick, canula was left in the opening of the 

 bursted bag, this causing a more easy and constant discharge, and a vulnerary 

 injection, strongly saturated with spirit of wine, had the good effect to diminish 

 it very considerably; but yet it continued so very great, that they apprehended 

 the patient would soon sink under so great a flux of this bilious matter, and 

 the rather that his stomach and his rest failed him; but the discharge daily 

 lessening, and his appetite and rest returning in proportion, he recovered 

 strength enough to be able to walk. 



All this while the appearances of the jaundice were wearing off, the urine 

 was returned to its natural colour, and the patient had regularly a natural stool 

 every day, till about 8 days before his death, when his body becoming costive, 

 the physician found it necessary to discharge the faeces, by clysters and lenient 

 purges. Whilst Mr. A. attended him, his belly was always free from fulness 

 or tension, being soft and lank, and he was less troubled with wind, than he 

 had been for many years before. Two days before he died, he went to air 

 himself in another room, and caught cold: this is presumed to have occasioned 

 a fever, followed with a lethargy, in which he continued till the 29th of May, 

 when he died. 



On dissection, it was observed, that the patient was not near so extenuated 

 as might have been expected, after so great a discharge of bile and lymph 

 during 25 days ; for much fat was yet observed under the skin and elsewhere, 

 and his flesh not much sunk from the natural state, but the blood-vessels were 

 found extremely empty. In the abdomen, the caul or omentum was shrivelled 

 up, and adhered to a large bag or cystis, affixed to the inside of the great lobe 

 of the liver, and stretching from thence along the right flank, over one half of 

 the kidney on that side. The left lobe of the liver was removed from the left 

 side to the right, not reaching farther than the right edge of the cartilago 

 ensiformis, and the pylorus : the ligamentum latum suspensorium hepatis, was 

 drawn backwards into the right hypochondrium. The liver was of a natural 

 colour, but very small, and more decayed and wasted in proportion than the 

 other viscera, but as free as they from any preternatural adhesion, obstruction, 

 or induration, and the bag or cystis, arising from it, strongly adhering by its 

 outside only, to the peritoneum, down to the right kidney. 



On passing a finger through the wound in the integuments, it entered first 

 into a cavity made between the peritoneum and the outside of the cystis, in 

 which the matter of the abscess had been lodged, and then through a hole in 



