520 francis' cases of morbid anatomy. 



part, externally, was attached a tuberculated excrescence two inches in 

 length, and half an inch in breadth. This patient, as was stated upon 

 the best evidence, had undergone extreme corporeal suffering for more 

 than twenty years, in consequence of a most weak and irritable con- 

 dition of the digestive organs, and an uncommon state of the hepatic 

 viscus.* 



But subsequent observation and experience will determine, whether 

 this idea of the predisposing causes of these affections of the oesopha- 

 gus and of the stomach, be tenable or not. 



It has been observed by Sir Everard Home, that where strictures of 

 the oesophagus have been of long continuance, ulceration takes place 

 on the side of the stricture next the stomach. The case before us 

 furnishes an example directly of an opposite nature : from the cardiac 

 orifice to the commencement of the stricture not the least sign of 

 disease could be discovered. We also find that the stricture preserved 

 its character entire, though the oesophagus was ulcerated to an uncom- 

 mon degree and extent. The causes of the appearance of the stomach 

 meet with a ready solution, when the nature and small quantity of the 

 aliment it received for a long time are considered. 



That the morbid state of the pancreas must have added to the dis- 

 ordered condition of the digestive organs, will be readily admitted, 

 upon whatever pathological principle the fact is attempted to be 

 explained. In his Observationes Medicse, Tulpius has inserted, at 

 considerable length, the particulars of a remarkable case of diseased 

 pancreas. In this instance, one of the most prominent symptoms of 

 disease was the inability of the patient to sleep, or to find relief in any 

 other than in an erect position ; for whenever he took a horizontal 



» See the Details in the present paper constituting the third case of Morbid Anatomy. 



.» 



