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THE SOCIETY OF TROPICAL MEDICINE AND HYGIENE.
THE SOCIETY OF TROPICAL MEDICINE AND HYGIENE.
925
130 beats in the minute. The abdomen was somewhat distended and extremely tender. There were signs of free fluid in the abdomen. The occur in" pernicious anaemia, where all the symptoms and post-mortem findings were characteristic of a case of this menstrual history showed nothing abnormal. A natural disease except the blood and marrow changes. period had occurred three weeks previously. Vaginal Mr. S. G. SHATTOCK exhibited a specimen of Amyloid examination revealed indistinct fulness in the pouch of Degeneration in an Adenoma of the Liver, which was of Douglas, but no obvious swelling in the appendages. There interest as being the first demonstration of this degeneration was no uterine hoemorrhage. Within an hour the abdomen met with in a new growth. The tumour itself was of large was opened. A large quantity of fluid and clotted blood was size, and in structure closely resem’bled hepatic tissue. The found free in the peritoneal cavity. There was no enlargehepatic substance itself, which was displaced over the growth, ment of the Fallopian tubes. From the surface of the left exhibited the same degeneration, the disease in this, as in ovary projected a thin-walled blood cyst, which had obviously the tumour, being confined to the vessels. ruptured and was collapsed. The left appendages were The right Fallopian tube appeared perfectly Dr. F. PARKES WEBER read a paper on a case of Bile- removed. producing Primary Carcinoma of the Liver, which will be healthy. The patient recovered without any complication. The menstrual period commenced four days subsequently published at length in THE LANCET shortly. and continued for three days, being of the usual type, without pain. The specimen and a number of microscopical sections were shown. The Fallopian tube was quite normal in THE SOCIETY OF TROPICAL MEDICINE appearance and on section one pole of the ovary had been distended by a blood cyst which was partially destroyed AND HYGIENE. during its removal. Careful examination of the blood revealed a small area in which the presence of Latency of Malarial Infection.-Typhoid FevÐ’I’ Prophylaxis.- I clot chorionic villi could be clearly demonstrated in microscopical Fever with Rash in the Yangtse Valley. sections. Sections of the ovary showed marked dilatation of A MEETING of this society was held on March 18th, Dr. blood-vessels, with many areas of haemorrhage in the stroma. F. M. SANDWITH being in the chair. and members Dr. OSWALD BAKER communicated a paper on the The specimen excited considerable interest, to be Duration of Latency of Malarial Infection, in which were unanimously of the opinion that it would prove another example of ovarian pregnancy. Dr. Lea stated that he described the persistence of latency for 13 years. He further microscopical investigations would be made in order had grown old in the belief that if a person who was to determine the exact nature of the specimen. to malarial took his in attacks abode a malariasubject up Mr. R. FAVELL (Sheffield) showed an Accessory Lobe of the free country and remained exempt from any manifestation of malaria for a period of three years he might consider he Liver which he had removed from a woman aged 30 years. had got quite rid of the infection ; in other words, that the The patient had never been well since a septic abortion six ago. For about six months she had had pain in the right plasmodium of malaria could not exist in a latent state years side and had noticed a lump. She had not been sick, and a of three But had now he abandoned beyond period years. there had been no jaundice. She was pale and of a rather that belief, which he felt sure was erroneous. Dr. EMMETT I. VAUGHAN communicated a paper entitled neurotic type. The abdomen was somewhat distended, and "A Problem in Typhoid Fever Prophylaxis and the Solu- in the right iliac fossa there was a freely moveable swelling tion of the Same," in which he detailed various methods of of the size of an orange. On bimanual examination the swellcould be felt at the pelvic brim. The left ovary was typhoid prophylaxis. The paper, which was an interesting ing The tumour was thought to be a right recital of a sanitary problem that frequently arises in normal in size. with a large pedicle. On palpating the abdocystic ovary, tropical communities, related the steps taken to solve it in the district of Gatun, Canal Zone, from the standpoint of the men under anaesthesia it was noted that the tumour had the movement of a gall-bladder tumour, and that it general sanitarian rather than that of the physician dealing pendulum could not be pushed into the true pelvis. The abdomen was with individual cases. Dr. ALEXANDER C. LAMBERT communicated some notes opened below the umbilicus, and an elastic globular tumour of the size of a large Jaffa orange was seen to be attached on cases of Fever, with an Urticarial Rash, occurring in the Yangtse Valley. Of late years medical men to the liver by a short broad pedicle. The tumour stationed in the Yangtse Valley had noted the appear- was dark purple in colour in marked contrast to the colour of the liver, and its surface was marked by ance in summer and autumn of a disease characterised bands milky-white running in its capsule. Large or and fever, rash, by general symptoms, pulmonary vessels ran from the pedicle over the surface of the also a or both combined, accompanied alimentary, by good The pedicle was attached to the thin anterior deal of prostration and followed by a protracted convales- tumour. of the right lobe of the liver. After clamping, the cence, which happily ended in complete recovery in the vast margin was cut through and the bleeding was controlled by majority of cases. Although the causal agent had not been pedicle of mattress sutures of catgut. The whole described, there would appear to be a definite relationship a double layer between physical contact on the part of the patient with the operation was performed outside the abdomen through an mud in paddy-fields and creeks and shallow lakes emptying incision the upper end of which was one inch below the into the Yangtse, and the subsequent development of the umbilicus. There was considerable ptosis of the liver. The disease a few days later. It would seem that the carrier patient made an uninterrupted recovery. On bisection, after of the infective agent of the disease was either a biting, hardening in formalin, the tumour was seen to be of a greenish-yellow colour, and irregularly lobulated by water-haunting fly or insect or some mud-dwelling animal of mottled similar propensities. The disease, as far as was known, was fibrous bands and blood-vessels. The colour quickly changed entirely confined to the Yangtse River and was not mentioned to an olive-green. Microscopical section showed liver tissue undergoing fatty degeneration. in any text-books. Dr. A. W. CUFF (Sheffield) read notes of four cases illustrating Difficulties in the Diagnosis of Ectopic Gestation. Amongst the specimens exhibited were : (1) Large FibroNORTH OF ENGLAND OBSTETRICAL AND Tumour of the Uterus, by Dr. J. W. MARTIN Cystic GYNÆCOLOGICAL SOCIETY. (Sheffield) ; (2) Suhmucous Myoma, which had been enucleated through the cervix, by Dr. D. LLOYD ROBERTS Intraperitoneal Haemorrhage.-Cases and Specimens. (Manchester) ; and (3) Bilateral Solid Ovarian Tumours A MEETING of this society was held at Sheffield on Secondary to Carcinoma of the Stomach, by Mr. FAVELL. March 18th, Dr. W. K. WALLS (Manchester) being in the chair. Dr. A. W. W. LEA (Manchester) reported a case of Diffuse SHEFFIELD Mi,DICO-CI711RURGICAL SOCIETY.-A Intraperitoneal Hemorrhage of Ovarian Origin, probably meeting of this !Ood..t,y was held on March 10th, Mr. George from rupture of an early ovarian pregnancy. The patient, a Wilkinson, the President, being in the chair.—Dr. Arthur J. multipara aged 29 years, was seen by Dr. Lea eight hours Hall read a paper entiled "Some Remarks on Intracranial after the sudden onset of severe abdominal pain, with vomit- Tumours." He referred to the clinical differences between ing and faintness. She was extremely pallid, with a barely tumours as understood when affecting other parts of the body 03
aplastic point to
anasmias was discussed and one case appeared to the fact that marrow hsemogenesis did not always
perceptible pulse, exceeding
925
130 beats in the minute. The abdomen was somewhat distended and extremely tender. There were signs of free fluid in the abdomen. The occur in" pernicious anaemia, where all the symptoms and post-mortem findings were characteristic of a case of this menstrual history showed nothing abnormal. A natural disease except the blood and marrow changes. period had occurred three weeks previously. Vaginal Mr. S. G. SHATTOCK exhibited a specimen of Amyloid examination revealed indistinct fulness in the pouch of Degeneration in an Adenoma of the Liver, which was of Douglas, but no obvious swelling in the appendages. There interest as being the first demonstration of this degeneration was no uterine hoemorrhage. Within an hour the abdomen met with in a new growth. The tumour itself was of large was opened. A large quantity of fluid and clotted blood was size, and in structure closely resem’bled hepatic tissue. The found free in the peritoneal cavity. There was no enlargehepatic substance itself, which was displaced over the growth, ment of the Fallopian tubes. From the surface of the left exhibited the same degeneration, the disease in this, as in ovary projected a thin-walled blood cyst, which had obviously the tumour, being confined to the vessels. ruptured and was collapsed. The left appendages were The right Fallopian tube appeared perfectly Dr. F. PARKES WEBER read a paper on a case of Bile- removed. producing Primary Carcinoma of the Liver, which will be healthy. The patient recovered without any complication. The menstrual period commenced four days subsequently published at length in THE LANCET shortly. and continued for three days, being of the usual type, without pain. The specimen and a number of microscopical sections were shown. The Fallopian tube was quite normal in THE SOCIETY OF TROPICAL MEDICINE appearance and on section one pole of the ovary had been distended by a blood cyst which was partially destroyed AND HYGIENE. during its removal. Careful examination of the blood revealed a small area in which the presence of Latency of Malarial Infection.-Typhoid FevÐ’I’ Prophylaxis.- I clot chorionic villi could be clearly demonstrated in microscopical Fever with Rash in the Yangtse Valley. sections. Sections of the ovary showed marked dilatation of A MEETING of this society was held on March 18th, Dr. blood-vessels, with many areas of haemorrhage in the stroma. F. M. SANDWITH being in the chair. and members Dr. OSWALD BAKER communicated a paper on the The specimen excited considerable interest, to be Duration of Latency of Malarial Infection, in which were unanimously of the opinion that it would prove another example of ovarian pregnancy. Dr. Lea stated that he described the persistence of latency for 13 years. He further microscopical investigations would be made in order had grown old in the belief that if a person who was to determine the exact nature of the specimen. to malarial took his in attacks abode a malariasubject up Mr. R. FAVELL (Sheffield) showed an Accessory Lobe of the free country and remained exempt from any manifestation of malaria for a period of three years he might consider he Liver which he had removed from a woman aged 30 years. had got quite rid of the infection ; in other words, that the The patient had never been well since a septic abortion six ago. For about six months she had had pain in the right plasmodium of malaria could not exist in a latent state years side and had noticed a lump. She had not been sick, and a of three But had now he abandoned beyond period years. there had been no jaundice. She was pale and of a rather that belief, which he felt sure was erroneous. Dr. EMMETT I. VAUGHAN communicated a paper entitled neurotic type. The abdomen was somewhat distended, and "A Problem in Typhoid Fever Prophylaxis and the Solu- in the right iliac fossa there was a freely moveable swelling tion of the Same," in which he detailed various methods of of the size of an orange. On bimanual examination the swellcould be felt at the pelvic brim. The left ovary was typhoid prophylaxis. The paper, which was an interesting ing The tumour was thought to be a right recital of a sanitary problem that frequently arises in normal in size. with a large pedicle. On palpating the abdocystic ovary, tropical communities, related the steps taken to solve it in the district of Gatun, Canal Zone, from the standpoint of the men under anaesthesia it was noted that the tumour had the movement of a gall-bladder tumour, and that it general sanitarian rather than that of the physician dealing pendulum could not be pushed into the true pelvis. The abdomen was with individual cases. Dr. ALEXANDER C. LAMBERT communicated some notes opened below the umbilicus, and an elastic globular tumour of the size of a large Jaffa orange was seen to be attached on cases of Fever, with an Urticarial Rash, occurring in the Yangtse Valley. Of late years medical men to the liver by a short broad pedicle. The tumour stationed in the Yangtse Valley had noted the appear- was dark purple in colour in marked contrast to the colour of the liver, and its surface was marked by ance in summer and autumn of a disease characterised bands milky-white running in its capsule. Large or and fever, rash, by general symptoms, pulmonary vessels ran from the pedicle over the surface of the also a or both combined, accompanied alimentary, by good The pedicle was attached to the thin anterior deal of prostration and followed by a protracted convales- tumour. of the right lobe of the liver. After clamping, the cence, which happily ended in complete recovery in the vast margin was cut through and the bleeding was controlled by majority of cases. Although the causal agent had not been pedicle of mattress sutures of catgut. The whole described, there would appear to be a definite relationship a double layer between physical contact on the part of the patient with the operation was performed outside the abdomen through an mud in paddy-fields and creeks and shallow lakes emptying incision the upper end of which was one inch below the into the Yangtse, and the subsequent development of the umbilicus. There was considerable ptosis of the liver. The disease a few days later. It would seem that the carrier patient made an uninterrupted recovery. On bisection, after of the infective agent of the disease was either a biting, hardening in formalin, the tumour was seen to be of a greenish-yellow colour, and irregularly lobulated by water-haunting fly or insect or some mud-dwelling animal of mottled similar propensities. The disease, as far as was known, was fibrous bands and blood-vessels. The colour quickly changed entirely confined to the Yangtse River and was not mentioned to an olive-green. Microscopical section showed liver tissue undergoing fatty degeneration. in any text-books. Dr. A. W. CUFF (Sheffield) read notes of four cases illustrating Difficulties in the Diagnosis of Ectopic Gestation. Amongst the specimens exhibited were : (1) Large FibroNORTH OF ENGLAND OBSTETRICAL AND Tumour of the Uterus, by Dr. J. W. MARTIN Cystic GYNÆCOLOGICAL SOCIETY. (Sheffield) ; (2) Suhmucous Myoma, which had been enucleated through the cervix, by Dr. D. LLOYD ROBERTS Intraperitoneal Haemorrhage.-Cases and Specimens. (Manchester) ; and (3) Bilateral Solid Ovarian Tumours A MEETING of this society was held at Sheffield on Secondary to Carcinoma of the Stomach, by Mr. FAVELL. March 18th, Dr. W. K. WALLS (Manchester) being in the chair. Dr. A. W. W. LEA (Manchester) reported a case of Diffuse SHEFFIELD Mi,DICO-CI711RURGICAL SOCIETY.-A Intraperitoneal Hemorrhage of Ovarian Origin, probably meeting of this !Ood..t,y was held on March 10th, Mr. George from rupture of an early ovarian pregnancy. The patient, a Wilkinson, the President, being in the chair.—Dr. Arthur J. multipara aged 29 years, was seen by Dr. Lea eight hours Hall read a paper entiled "Some Remarks on Intracranial after the sudden onset of severe abdominal pain, with vomit- Tumours." He referred to the clinical differences between ing and faintness. She was extremely pallid, with a barely tumours as understood when affecting other parts of the body 03
aplastic point to
anasmias was discussed and one case appeared to the fact that marrow hsemogenesis did not always
perceptible pulse, exceeding