>30 francis' cases of morbid anatomy. 



and its whole surface was covered with a tenacious, dark coloured 

 mucus. The most important change, however, which was found to 

 have taken place in this viscus, was a scirrhus of the pylorus, which, 

 from all that could be perceived, completely closed the inferior passage 

 of the stomach, about which part, externally, was attached a tubercu- 

 lated excrescence two inches in length, and half an inch in breadth, and 

 greatly resembling, in its colour, that of a natural pancreas. 



The whole of the small and great intestines manifested a perfectly 

 sound appearance. Some few of the glands on the mesentery were 

 larger and harder than ordinary. The spleen and the pancreatic 

 gland were in a healthy state. It is an undertaking not altogether void 

 of difficulty, to communicate, by words, an exact idea of the great and 

 remarkable changes which the liver had suffered. 



This organ was so much enlarged, that it occupied not only all the 

 night hypochondrium, but also the epigastric region as low down as the 

 umbilicus, and a very considerable part of the left hypochondriac 

 region : previously to our opening the abdominal parietes, its hardened 

 and irregular surface could be distinctly felt under the integuments, 

 covering the parts just noted. Both the convex and concave surface 

 of the liver were vested with tuhera : there were, probably, about 

 sixty of these bodies on its superior surface ; on the inferior surface 

 they were more numerous. They also pervaded the inner surface of 

 the liver, sometimes in a distinct, and at other times in a confluent form. 

 The tubera were all of the same nature, though they varied in size : on 

 the outer surface of the gland they preserved their distinctive form, 

 elevated the peritoneal covering of the liver, and were sparsely varie- 

 gated with red vessels : in their colour they much resembled a cream 

 white ; at or near their centre they had a little depression, which 

 presented an appearance whiter than elsewhere. In several places. 



