frakcis' cases of morbid anatomy. 529 



intestines. The superior portion of the mesentery exhibited some 

 slight marks of disease, being more than ordinarily thick, and preterna- 

 tu rally hard, and possessing here and there small tubercular elevations. 

 The stomach was more than three times its common size, and was dis- 

 tended with a black fluid, resembling a mixture of soot and water com- 

 bined with a small quantity of glutinous matter, and was particularly 

 offensive to the smell. The coats of the stomach investing its superior 

 curvature were greatly augmented in thickness : the cardiac portion 

 was free from disease. A portion of the greater extremity, for about 

 two inches round the pylorus, was in a perfectly scirrhous condition, and 

 full one inch in thickness ; a part of this thickened mass had advanced 

 to a state of ulceration. The pyloric orifice made resistance to the 

 passage of a common sized probe, 



III. Case of Scirrhus of the Pylorus accompanied with a Tubergu- 



lated Liver. 



On the morning of Sunday, the 4th of June, 1815, 1 was requested, in 

 connexion with Dr. William Handy, a respectable physician of this city, 

 to examine the body of a female, aged thirty-eight years, who had died 

 on the preceding day of a complication of distressing symptoms. On 

 this occasion our attention was necessarily confined principally to the 

 appearances which might be discovered in the abdominal cavity. 



Not the least portion of the omentum was present. The stomach 

 was much smaller than natural, and contained about ten ounces of a 

 dark fluid, intimately mixed with a substance similar to coffee grounds, 

 of a somewhat offensive smell, and seemingly acrid nature ; its internal 

 coat presented some slight marks of former inflammatory excitement, 



69 



