Foreign Substances within the Eyeball: The Substance of a Lecture
Authors: H. Walton
Journal: BMJ (1864)

large number of smaller sacs, one mass, attached in the pelvis by a single pedicle about an inch thick.This was divided, and secuired by a clamp with a liga- ture beneath it; and the sides of the wound were brought together with sutures.The intestines were scarcely seen, and little or no fluid escaped into the peritoneuri.The contents of the cysts varied from a straw-coloured, thin, but viscid, fluid, to one of a brown colour and gluey consistence; and some of the fluid sparkled with scales of cholesterine, which ex- hibited very perfect plates under the microscope.The whole mass, tumour and fluid, weighed two stone.After the operation, she suffered great pain; but was much relieved by a drachm of tincture of opium; in the evening, fifteen-minim doses were repeated every four hours.Barley-water and tea were also taken, though several times rejected by vomiting; for which soda-water was given.April 22nd.The patient passed a quiet night.Pulse 93; tongue moist.She had no further sickness; but a rather frequent cough, and an anxious expres- sion.The catheter was passed night and morning.The opiates were continued.At 4 P.M., she was per- spiring freely.April 23rd.She vomited several times in the night; pulse 120; free perspiration; abdomen painful.6 P.m.She was in great pain; the pulse was failing; the extremities were rather cold; the abdomen was very tympanitic.An assafoetida enema was given; and six ounces of brandy were ordered.Slhe died at 11 P.M.SECTIO CADAVERIS.The stomach and intestines were much distended with flatus; and there was about a quart of bloody serum in the peritoneal cavity.The small intestines were deeply injected; and their folds were agglutinated by recent lymph.The pedicle was quite free from any signs of inflammation.The uterus and left ovary were healthy.There was no other disease.CASE ii.Elizabeth Cherry, aged 39, was admitted into the Infirmary three months ago, for swelling of the legs, when two tumours were found in the abdo- men, one on each side, firm, but distinctly elastic, of which she herself was before unconscious.Her health, at that time, was not much affected, though she suffered from occasional pains in the abdomen; and, being unwilling to undergo any operation, she was discharged.After leaving, she became rapidly worse, the abdomen also increasing in size; and three weeks before her last admission, she was tapped on the left side, when three pints of brownish viscid fluid were evacuated.She was unmarried; menstruation ceased six months ago, having been imperfect for a year previously.June 7th.She was re-admitted, in a very low andl emaciated state.PuLlse 104, feeble; tongue dry and irritable.The abdomen was much swollen and tense and its superficial veins were enlarged.It was dull on percussion, except at the upper part; and on the left side, a firm, but distinctly fluctuating tumour, could be felt on pressure.Both legs were slightly cedematous.She was ordered to have fifteen minims of tincture of opium, with the same quantity of chloric ether, every four hours; and to have milk-diet and ten ounces of brandy.June 9th.She was frequently sick, and much weaker; she could not lie down in the bed.Sodawater was ordered.June 11th.She was wasting rapidly; took little