182 



THE ANIMAL PARASITES OF MAN 



spleen. At the autopsy the adipose tissue was found to be remark- 

 ably abundant throughout the body. The appearance of the peri- 

 toneum suggested repeated attacks of peritonitis. The appendices 

 epiploicae were thickened and in some places matted together. The 

 recto-vesical pouch was almost obliterated. The mesenteric tissues 

 were all thickened and loaded with fat. The mesenteric and pre- 

 vertebral glands varied in size from a bean to a golf-ball, the largest 

 forming a cluster near the duodenum. The liver was considerably 

 hypertrophied, its surface nodular, its consistence greatly increased. 

 The coats of the gall bladder were thickened, and a layer of fat 

 almost completely incased this organ, which was distended with 

 clear mucoid material containing several minute black gall-stones. 



The spleen was en- 

 larged and pigmented. 

 The colon was much 

 thickened throughout. 

 Its mucous membrane 

 was swollen, hyper- 

 aemic, and friable ; it 

 presented numerous 

 small circular super- 

 ficial erosions and 

 patches of necrosis. 

 The outer coats were 

 very tough, almost car- 

 tilaginous. The rectum 

 was three-quarters of 

 an inch thick all round, 

 and was adherent to 

 the bladder. It nearly 

 filled the true pelvis. 

 The sigmoid flexure was uniformly thickened. In tracing the 

 bowel upwards the thickening became less marked and more 

 patchy. The coats of the caecum and appendix vermiformis 

 were uniformly hypertrophied, the mucous membrane presenting 

 small patches of ulceration and necrosis. The lower end of the 

 ileum was thickened in patches, and the mucosa congested over 

 corresponding areas. The liver and bowel cut gritty on section. 

 The bladder was thickened where adhesions had formed with the 

 rectum, but elsewhere it was healthy, and nowhere was the vesical 

 mucosa diseased. The stomach, pancreas, suprarenals, kidneys, heart 

 and lungs showed no signs of coarse disease. 



As the lesions above mentioned were peculiar, some of the viscera 



FIG. 114. Schistosomum japonicum. 



