﻿42 



MUSGRAVE. 



Table No. 4. — Showing pathologic summary in 



in. 



Abdominal 

 cavity. 



Diaphragm ... 



Spleen . 



Liver 



Pancreas. 



Appendix. 



Stomach , 



Small intes- 

 tine. 



Large intes- 

 tine. 



All tissues matted to- 

 gether and numerous 

 bluish Paragonimus 

 cysts everywhere. 

 These are most nume- 

 rous at various points of 

 adhesions, as between 

 omentum and intestine 

 or abdominal wall. 



On the left side much 

 thickened and adher- 

 ent above and below; 

 contains many Para- 

 gonimus lesions on both 

 surfaces. 



Some perisplenitis with 

 Paragonimus lesions at 

 points of adhesion. 

 Moderate increase of 

 soft splenic pulp. 



Adherent to abdominal 

 wall, diaphragm, intes- 

 tine and omentum. 

 Bluish Paragonimus 

 lesions at points of ad- 

 hesion. Multiple ab- 

 scesses very small, 

 many of which contain 

 both amcebte and Para- 

 gonimus eggs. Nothing 

 abnormal in gall blad- 

 der or ducts. 



A few small, bluish cys- 

 tic abscesses near the 

 head, mostly peripan- 

 creatic, but some 

 invading the paren- 

 chyma of the organ. 



Bound in a mass of adhe- 

 sions with several typ- 

 ical lesions involving 

 the mesoappendix, 

 wallsandmucous mem- 

 brane of the organ. 



Not involved except in 

 adhesions on the serous 

 surface. 



Severely involved in its 

 entire length. Typical 

 cystic abscesses invad- 

 ing all its coats and 

 ulceration of the mu- 

 cosa. 



In general very similar to 

 small intestine and in 

 addition shows amcebic 

 ulceration of the mu- 

 cosa throughout. 



A mass of adhesions and 

 dark, bluish cystic ab- 

 scesses from 0.001 to 

 0.020 in diameter. 

 Omentum thickened 

 and simply studded 

 with Paragonimus le- 

 sions. The pelvic cav- 

 ity so massed with 

 adhesions and absces- 

 ses that contents can 

 only be removed with 

 the knife. 



Very much thickened 

 and contains abscesses 

 on the left side. Both 

 surfaces studded with 

 small, bluish cystic ab- 

 scesses. 



Enlarged and soft, con- 

 tains both on the 

 surface and in the par- 

 enchyma many bluish 

 cystic abscesses con- 

 taining ova. 



Enlarged and rather soft, 

 marked perihepatitis. 

 Glisson's capsule 

 increased and contains 

 a few small abscesses. 

 Numerous subcapsular 

 abscesses. Gall blad- 

 der wall thickened and 

 pale, surrounded and 

 infiltrated with ab- 

 scesses and one parasite 

 found in common duct. 



Contains a number of 

 small abscesses and is 

 hemorragic for 0.05 on 

 its splenic end. 



Walls and mesoappendix 

 contain abscesses but 

 mucosa intact except 

 around the opening in 

 the caecum where there 

 are several abscesses. 



Not involved except by 

 adhesions on the serous 

 surface. 



I n v o lved throughout. 

 The walls c o n t ai n 

 many abscesses some of 

 which protrude into 

 the lumen of the bowel 

 and others have broken 

 down leaving ragged 

 ulcers of the mucosa. 

 There are a number of 

 adhesive bands partly 

 occluding the lumen. 



Walls much thickened 

 and contain many cys- 

 tic abscesses, some " of 

 which protrude into 

 the lumen of the bowel. 

 There is no ulceration 

 of the mucosa. 



Similar to Cases I and II_ 



Similar to Case II. 



Marked perisplenitis; or- 

 gan hard and bloodless. 

 Numerous subcapsular 

 abscesass; deepefstruc- 

 ture free from lesions. 



Chronic perihepatitis. 

 Some increase of con- 

 nective tissue with ova 

 in places but no ab- 

 scesses in deeper por- 

 tionsof organ. Numer- 

 ous subcapsular ab- 

 sceses containing eggs. 



»Gall bladder and 

 ducts appear normal 

 and are free from para- 

 sites or eggs. 



Appears normal 



Walls and mesoappendix 

 contain nodules and 

 abscesses and mucosa 

 ulcerated with ova in 

 the scrapings. 



Appears normal 



Upper two-thirds appears 

 normal; lower one- 

 third similar to large 

 intestine. 



Walls thickened and 

 hard, dull, slate color, 

 and contain many hard 

 nodules and a' few 

 cystic abscesses. Mu- 

 cosa ulcerated through- 

 out. The ulcers are 

 punched out and sur- 

 rounded by zones of 

 congestion. The con- 

 tents dark in color and 

 contain ova. In one an 

 adult parasite was 

 found. 



