218 " OILMAN." 



found. Acute, yellow atrophy of the liver occurred in one ease, that 

 of a woman 20 years old in the fifth month of pregnancy. The liver 

 measured 18 by 5 centimeters; the edge was rounded, the organ was 

 soft and of an opaque, grayish-yellow, mottled color. The organ was 

 largely made up of degenerated and necrotic cells, irregular collections 

 of fat-droplets and detritus. 



There was but one instance of neoplasm of the liver, which occurred 

 in the case of gastric carcinoma; the liver showed numerous metastases 

 distributed throughout its substance. 



PERITONEUM. 



The single case of acute peritonitis followed a stab wound in which an 

 opening into the descending colon had occurred. 



In four cases, in addition to those of ascites associated with cirrhosis 

 of the liver, there was a large amount of peritoneal effusion. One of 

 these was associated with splenomegaly, two with cardiac failure, and one 

 with nephritis. 



LESIONS OF THE SPLEEN. 



An acute swelling of the spleen was found in ten instances, in cases of 

 typhoid fever, septicaemia and pneumonia. A chronic enlargement of 

 this organ was encountered in sixteen instances, its enlarged condition 

 apparently having no direct connection with the disease causing death. 

 A chronic, indurative splenitis with a diffuse extensive formation of 

 connective tissue was the rule in these specimens. The capsule, more 

 or less thickened, had lost its smooth surface and was not infrequently 

 ridged and seared. The organ was firm, although not hard, and usually 

 increased in size and weight. 



The cut surface of this type of spleen was of a uniform, red-brown 

 color and crossed in all directions by a prominent interlacing framework 

 of connective tissue. As a rule, the Malpighian bodies could not readily 

 be distinguished. Microscopically, the finer connective tissue framework 

 was increased or thickened and there was generally an increase in the 

 number of parenchyma cells. Pigmentation was uncommon. It was 

 observed four or five times and then the areas were made up of extremely 

 fine, brown-black granules. 



An atrophied spleen, wrinkled and firm, with prominent Malpighian 

 bodies and decreased parenchyma, occurred. in four cases, of which three 

 were in patients who had lived to over 80 years, the other being an 

 emaciated woman of 45, dead of carcinoma. The spleen in the series of 

 cases of tuberculosis was the seat of tuberculous foci in two instances. 



A single case of splenomegaly was encountered. The spleen weighed 

 1.2 kilos. Th« body was that of a well-nourished laborer 33 years old; 

 the peritoneal cavity contained 2 liters of pale, turbid fluid, although 



