Volume 4

Descriptive catalogue of the pathological specimens contained in the Museum of the Royal College of Surgeons of England.

  • Paget, James, Sir, 1814-1899.
Date:
1882-1885
Catalogue details

Licence: Public Domain Mark

Credit: Descriptive catalogue of the pathological specimens contained in the Museum of the Royal College of Surgeons of England. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    sac, and the left kidney was large and soft in its texture. There were also signs of general peritonitis. It is probable that the pouch of the bladder had existed for many years ; but that, as in the preceding specimen, the tissues composing it had been sound till, through disease of the kidneys, aggravated or, perhaps, produced by the injury, unhealthy urine used to collect. This, as the pouch always lay below the level of the prostate gland, could not be quickly or completely discharged ; and, thus delayed, it probably deposited the calcareous matter, and produced the ulceration of the walls of the pouch. At last, when the pouch could neither empty itself nor be emptied by the catheter, it sloughed and burst. Presented hy Dr. Denmark. 3663. A bladder, with five cysts formed by calculi, all commu- nicating with the bladder.^' (^Hunterian MS. Catalogue.) The cysts or pouches from the bladder are all very like that shown in No. 3661. They are disposed transversely across the lower and posterior part of the bladder, and their ar- rangement is almost symmetrical. The two outermost are nearly spherical, and between two and three inches in diameter ; two in the middle have the same form, and are rather more than an inch in diameter ; the fifth, situated on the right side, is smaller than the others, and is not laid open. They open into the bladder through five smooth, round or oval apertures, from half to three quarters of an inch in diameter, which all lie in a row about half an inch above the orifices of the ureters. Their walls are composed of mucous, muscular, and cellular tissue, and are about half as thick as those of the bladder. All the textures, both of the cysts and of the bladder itself, appear quite healthy. The prostate gland has two small cavities in its interior, but is in other respects healthy ; neither is thei'e any morbid change in the part of the urethra which is preserved, and which includes the w^hole of the canal except the anterior half of the spongy portion. The ureters are large, and their coats are thickened. Hunterian. Partial Dilatation of the Mucous Membrane. 3664. Part of the posterior wall of a bladder, in which is a small, wide-mouthed, saccular protrusion, like a hernia or diverti-