150 NOTES ON THE POST-MORTEM EXAMINATION OF A MAN 



subject. Though the nodes on the stem of the lymphatic or lacteal 

 tree had shrivelled and disappeared, the spongioles on its roots were 

 still active. The statements in Haller's 'Disputations 1 ,' as to the 

 total disappearance of the mesenteric system in advanced age, 

 needs, therefore, certain qualifications, which our modern knowledge 

 of the true nature of the Peyerian glands enables us to make. 



Both ureters were greatly dilated, and there was an abundance of 

 reddish-yellow grains of uric acid in the pelvis and calices of the 

 right kidney, as well as throughout the bladder. These concretions 

 of uric acid were seen under an inch-power to be multi-tuberculate, 

 or rather spinose, on their exterior ; they were of the size of 

 coarsish sand. The weight of the right kidney was 2§ oz. ; that of 

 the left, which was somewhat deeply imbedded in fat, was i\ oz. 

 Exteriorly, both kidneys had indications of lobulation, and nume- 

 rous small cysts, as in the case of Parr, scattered over their surface. 

 Microscopically, the kidney tissues seemed normal. The bladder 

 had risen so far out of the pelvis as nearly to abut upon the 

 promontory of the sacrum. Its increase of size was due to the 

 hypertrophy of its coats, and especially of its muscular coat. 

 Everywhere, except over the trigonum vesicae, the mucous mem- 

 brane was bulged into sacculi prolonged between the muscular 

 bundles for a depth of as much as a quarter of an inch, the 

 orifices of communication between them and the general cavity of 

 the bladder lying transversely to its vertical axis. Just at the 

 commencement of the urethra, on the right side of the veru mon- 

 tanum, a pediculate growth, the size of a pea, projected into the 

 urethra ; on reflecting the mucous membrane, another similarly 

 attached but smaller tumour was discovered close by the pedicle of 

 the first ; and on the left side of the veru montanum a broad and 

 flat tumour, as large as both those of the right side taken together, 

 was found, separable from, but, like the two pediculate tumours, 

 possessing the same microscopic characters and prostatic corpuscles 

 as the subjacent glandular isthmus or ' middle lobe.' The orifices 

 of the prostatic glands were large. The prostate figured by Sir 



1 • Disp. Anat.,' vii. p. 77- 'Constat glandulas mesentericas maximas et pulcherrimas 

 in foetu esse, sed imminui pro aetate crescente, ut in senio evanescant omnes. Ita 

 Kuyschius senex de se ipso scripsit per multos nunc annos nulla sibi superesse vasa 

 lactea, quod quidetn non nisi ex experimentis et observationibus didicit, quibus constat 

 anno septuagesimo et prius glandulas mesentericas omnes evanuisse.' 



