REPORT OF CASE. 
129 
w:is found a certain quantity of food. The mucous membrane of 
the cardiac portion is normal, and covered with the porcelain-like 
structure, continues to the sesophagus. The pyloric portion pre¬ 
sents three ulcerated patches ; one about the size of a twenty-five 
cent piece, with well-defined, indurated edges, the center of the 
ulcers being flattened, soft, and of a pale reddish color. 
The spleen is apparently perfectly healthy, presenting, how¬ 
ever, towards the lower extremity, a few tuberculous deposits, 
situated in the fissure of the organ. One of them, about the size 
of a large walnut, is held in place between the layers of the great 
omentum. 
The liver presents four lobes, is normal in color, perhaps a 
little softened, and offers on its nodulated surface a few tubercles, 
scattered irregularly. In the center of the hepatic structure is 
found a large tubercle, near the right lobe. The kidneys are 
lobulated, of dark color, slightly softened. The suprarenal cap¬ 
sules are enlarged and hardened, and also contain tubercular de¬ 
posits. The mesentery and other parts of the peritoneum look 
normal. In the pelvic cavity a large mass of whitish-opaque 
albumoid, homogenous jelly-like structure is found, weighing 
about two pounds. The ovaries are large and healthy. The 
bladder contains but little healthy urine. In removing the uterus, 
the large mass shows the horns and the body of the organs cov¬ 
ered by a large number of tuberculous masses, the largest about 
the size of a lady-apple. The mucous membrane slightly colored. 
The sternum was then removed by section of the costal carti¬ 
lages. In doing so, a large quantity of a clear, serous effusion 
escapes into the then empty abdomen. Measured, it is found 
that the thorax contains about twenty-eight gallons of this fluid, 
which has filled the cavity of the chest to nearly three quar¬ 
ters of its extent, squeezing the lungs in the upper portion 
of the chest, and producing a carnified condition of those organs. 
The lungs are adherent to the thoracig walls by strong fibrous 
bands of a dark bluish color. The right lung is in a hyperstatic 
condition, the anterior lobe of that lung being extensively emphy¬ 
sematous along the lower border. The surfaces of both lungs 
are filled with tubercular deposits, very heavy and dense. On 
section, the lungs allow the escape of a reddish fluid, which is 
