ABSCESS OF THE LIVER. TO THE
EDITOR OF THE
"
INDIAN MEDICAL
GAZETTE."
" notes on liver abscess," very interesting published in your last issue, Dr. French has made accidentally The symptoms of a chronological error in case No. 4. enteritis, which he describes as occurring on the 15th February, a month earlier, in January. Early in January, took place suspecting the formation of a liver abscess, I asked Drs. Ewart Mackenzio and kindly to see the case with mo, but it was decided that the symptoms were too obscure to justify an
Sir,?In
some
July 1, 1875
SELECTION.
]
exploration with Dieulafoy's aspirator. A few days after this, the perforation into the duodenum probably took place?loth January?I think the opening into the colon was the result of
for though the stools were repeatedly examined for pus, none was ever found. This would probably be the case, when a small abscess bursts into the middle portion of the duodenum ; the pus would be partly absorbed, and probably partly converted into semi-fa3cal matter. This absence of pus in the stools increased the difficulty of the diagnosis, and led me to think that the attack of pain and the tumefaction in the right hypochondriac region were the result of perityphlitis or of inflammation of the ascending colon, connected with the obstinate diarrhoea from which T. J. suffered both during this and a previous admission into 1st assistant's ward of the general hospital. I think it is worth while recording that the patient lived for more than 2 months after the rupture of the abscess into the duodenum, and was comparatively much relieved after the acute symptoms passed away. I am, Sir,
subsequent ulceration,
Your
obediently, M.B., F.R.C.S.
C. H. Jouhert,
Bukdwan, 24th June 1875. Rote.?I have much pleasure in forwarding this letter to the ^Editor, " Indian Medical Gazette," and beg to thank Dr. Joubert for the correction, and the additional interesting observations on this case. J. G. FfifiNcn, M.D., General 2oth June 1875.
Hospital.
EDITOR OF THE
"
INDIAN MEDICAL
GAZETTE."
" notes on liver abscess," very interesting published in your last issue, Dr. French has made accidentally The symptoms of a chronological error in case No. 4. enteritis, which he describes as occurring on the 15th February, a month earlier, in January. Early in January, took place suspecting the formation of a liver abscess, I asked Drs. Ewart Mackenzio and kindly to see the case with mo, but it was decided that the symptoms were too obscure to justify an
Sir,?In
some
July 1, 1875
SELECTION.
]
exploration with Dieulafoy's aspirator. A few days after this, the perforation into the duodenum probably took place?loth January?I think the opening into the colon was the result of
for though the stools were repeatedly examined for pus, none was ever found. This would probably be the case, when a small abscess bursts into the middle portion of the duodenum ; the pus would be partly absorbed, and probably partly converted into semi-fa3cal matter. This absence of pus in the stools increased the difficulty of the diagnosis, and led me to think that the attack of pain and the tumefaction in the right hypochondriac region were the result of perityphlitis or of inflammation of the ascending colon, connected with the obstinate diarrhoea from which T. J. suffered both during this and a previous admission into 1st assistant's ward of the general hospital. I think it is worth while recording that the patient lived for more than 2 months after the rupture of the abscess into the duodenum, and was comparatively much relieved after the acute symptoms passed away. I am, Sir,
subsequent ulceration,
Your
obediently, M.B., F.R.C.S.
C. H. Jouhert,
Bukdwan, 24th June 1875. Rote.?I have much pleasure in forwarding this letter to the ^Editor, " Indian Medical Gazette," and beg to thank Dr. Joubert for the correction, and the additional interesting observations on this case. J. G. FfifiNcn, M.D., General 2oth June 1875.
Hospital.
