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Including bile Stock Photos and Images
Organ secreting substances, including bile, that help digestion and break up certain toxins contained in the blood. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/organ-secreting-substances-including-bile-that-help-digestion-and-image156174013.htmlRMK229F9–Organ secreting substances, including bile, that help digestion and break up certain toxins contained in the blood.
Essential nutrients for Pancreas health including Nickel, Chromium, Cuprum, Manganese. Design set of human organs on blue background. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-pancreas-health-including-nickel-chromium-cuprum-manganese-design-set-of-human-organs-on-blue-background-image433689402.htmlRF2G5G776–Essential nutrients for Pancreas health including Nickel, Chromium, Cuprum, Manganese. Design set of human organs on blue background.
Organ secreting substances, including bile, that help digestion and break up certain toxins contained in the blood. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/organ-secreting-substances-including-bile-that-help-digestion-and-image156173777.htmlRMK2296W–Organ secreting substances, including bile, that help digestion and break up certain toxins contained in the blood.
Computer illustration of Bacteroides sp. bacteria. These are rod shaped, obligate anaerobic, Gram-negative, saccharolytic bacteria. Bacteroides are the most common bacteria found in the human intestinal tract. They are involved in many important metabolic activities in the human flora of the colon, including fermentation of carbohydrates, utilization of nitrogenous substances, and biotransformation of bile acids and other steroids. When Bacteroides escape the colon, they are responsible for many types of infections and abscesses that can occur all over the body including the upper body, Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/computer-illustration-of-bacteroides-sp-bacteria-these-are-rod-shaped-obligate-anaerobic-gram-negative-saccharolytic-bacteria-bacteroides-are-the-most-common-bacteria-found-in-the-human-intestinal-tract-they-are-involved-in-many-important-metabolic-activities-in-the-human-flora-of-the-colon-including-fermentation-of-carbohydrates-utilization-of-nitrogenous-substances-and-biotransformation-of-bile-acids-and-other-steroids-when-bacteroides-escape-the-colon-they-are-responsible-for-many-types-of-infections-and-abscesses-that-can-occur-all-over-the-body-including-the-upper-body-image189003141.htmlRFMYDRC5–Computer illustration of Bacteroides sp. bacteria. These are rod shaped, obligate anaerobic, Gram-negative, saccharolytic bacteria. Bacteroides are the most common bacteria found in the human intestinal tract. They are involved in many important metabolic activities in the human flora of the colon, including fermentation of carbohydrates, utilization of nitrogenous substances, and biotransformation of bile acids and other steroids. When Bacteroides escape the colon, they are responsible for many types of infections and abscesses that can occur all over the body including the upper body,
Organ secreting substances, including bile, that help digestion and break up certain toxins contained in the blood. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/organ-secreting-substances-including-bile-that-help-digestion-and-image156173014.htmlRMK2287J–Organ secreting substances, including bile, that help digestion and break up certain toxins contained in the blood.
Liver - Cut Away View to show internal structures including: liver lobules, kupffers cells, fenestrations, lymphatic vessel, hepatic artery Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/stock-photo-liver-cut-away-view-to-show-internal-structures-including-liver-lobules-130806390.htmlRFHGPMTP–Liver - Cut Away View to show internal structures including: liver lobules, kupffers cells, fenestrations, lymphatic vessel, hepatic artery
Diseases of the gall-bladder and bile-ducts, including gall-stones (1900) (14755018991) Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/stock-photo-diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-177284817.htmlRMM8C0GH–Diseases of the gall-bladder and bile-ducts, including gall-stones (1900) (14755018991)
Practical hydropathy, including plans of baths and remarks on diet, clothing and habits of life.. . act, and death ensues. Such is the case indeath by hanging, and drowning, and all similar means by which the function ofrespiration and decarbonization is interrupted. If the proper exeretion of bile by the liver be stopped, it soon accumulatesin the blood, and its deadly properties are experienced in the extreme depressionof nervous power. If the usual excretion be not soon re-established, insensi-bility and death will supervene. I have next to apprise you, that if the excretion of urea by the Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/practical-hydropathy-including-plans-of-baths-and-remarks-on-diet-clothing-and-habits-of-life-act-and-death-ensues-such-is-the-case-indeath-by-hanging-and-drowning-and-all-similar-means-by-which-the-function-ofrespiration-and-decarbonization-is-interrupted-if-the-proper-exeretion-of-bile-by-the-liver-be-stopped-it-soon-accumulatesin-the-blood-and-its-deadly-properties-are-experienced-in-the-extreme-depressionof-nervous-power-if-the-usual-excretion-be-not-soon-re-established-insensi-bility-and-death-will-supervene-i-have-next-to-apprise-you-that-if-the-excretion-of-urea-by-the-image340310136.htmlRM2ANJD1C–Practical hydropathy, including plans of baths and remarks on diet, clothing and habits of life.. . act, and death ensues. Such is the case indeath by hanging, and drowning, and all similar means by which the function ofrespiration and decarbonization is interrupted. If the proper exeretion of bile by the liver be stopped, it soon accumulatesin the blood, and its deadly properties are experienced in the extreme depressionof nervous power. If the usual excretion be not soon re-established, insensi-bility and death will supervene. I have next to apprise you, that if the excretion of urea by the
. Feeds and feeding abridged : the essentials of the feeding, care, and management of farm animals, including poultry : adapted and condensed from Feeds and feeding (16th ed.). Feeds; Animal nutrition. FEEDING AND CARE OF POULTRY 379 SMALL CECUM V (INTESTINE LOWER MANDIBLE TONGUE OPENING TO TRACHEA MUSCLES CONTROLLING TONGUE OPENING INTCGULLET. GALL-BLADDEft BILE DUCT GIZZARD PANCREAS DUODENAL LOOP Fig. 108.—The Digestive System op the Fowl The digestive system of the fowl differs in several respects from those of the larger farm animals. (From Lappincott, Poultry Production.) but both are ex Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/feeds-and-feeding-abridged-the-essentials-of-the-feeding-care-and-management-of-farm-animals-including-poultry-adapted-and-condensed-from-feeds-and-feeding-16th-ed-feeds-animal-nutrition-feeding-and-care-of-poultry-379-small-cecum-v-intestine-lower-mandible-tongue-opening-to-trachea-muscles-controlling-tongue-opening-intcgullet-gall-bladdeft-bile-duct-gizzard-pancreas-duodenal-loop-fig-108the-digestive-system-op-the-fowl-the-digestive-system-of-the-fowl-differs-in-several-respects-from-those-of-the-larger-farm-animals-from-lappincott-poultry-production-but-both-are-ex-image216374419.htmlRMPG0KNR–. Feeds and feeding abridged : the essentials of the feeding, care, and management of farm animals, including poultry : adapted and condensed from Feeds and feeding (16th ed.). Feeds; Animal nutrition. FEEDING AND CARE OF POULTRY 379 SMALL CECUM V (INTESTINE LOWER MANDIBLE TONGUE OPENING TO TRACHEA MUSCLES CONTROLLING TONGUE OPENING INTCGULLET. GALL-BLADDEft BILE DUCT GIZZARD PANCREAS DUODENAL LOOP Fig. 108.—The Digestive System op the Fowl The digestive system of the fowl differs in several respects from those of the larger farm animals. (From Lappincott, Poultry Production.) but both are ex
Essential nutrients for Gall Bladder health including Omega 3, L-Glycine, Omega3, Lecithin on light blue background. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-gall-bladder-health-including-omega-3-l-glycine-omega3-lecithin-on-light-blue-background-image433689517.htmlRF2G5G7B9–Essential nutrients for Gall Bladder health including Omega 3, L-Glycine, Omega3, Lecithin on light blue background.
Computer illustration of Bacteroides sp. bacteria. These are rod shaped, obligate anaerobic, Gram-negative, saccharolytic bacteria. Bacteroides are the most common bacteria found in the human intestinal tract. They are involved in many important metabolic activities in the human flora of the colon, including fermentation of carbohydrates, utilization of nitrogenous substances, and biotransformation of bile acids and other steroids. When Bacteroides escape the colon, they are responsible for many types of infections and abscesses that can occur all over the body including the upper body, Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/computer-illustration-of-bacteroides-sp-bacteria-these-are-rod-shaped-obligate-anaerobic-gram-negative-saccharolytic-bacteria-bacteroides-are-the-most-common-bacteria-found-in-the-human-intestinal-tract-they-are-involved-in-many-important-metabolic-activities-in-the-human-flora-of-the-colon-including-fermentation-of-carbohydrates-utilization-of-nitrogenous-substances-and-biotransformation-of-bile-acids-and-other-steroids-when-bacteroides-escape-the-colon-they-are-responsible-for-many-types-of-infections-and-abscesses-that-can-occur-all-over-the-body-including-the-upper-body-image189003139.htmlRFMYDRC3–Computer illustration of Bacteroides sp. bacteria. These are rod shaped, obligate anaerobic, Gram-negative, saccharolytic bacteria. Bacteroides are the most common bacteria found in the human intestinal tract. They are involved in many important metabolic activities in the human flora of the colon, including fermentation of carbohydrates, utilization of nitrogenous substances, and biotransformation of bile acids and other steroids. When Bacteroides escape the colon, they are responsible for many types of infections and abscesses that can occur all over the body including the upper body,
Textbook of normal histology: including an account of the development of the tissues and of the organs . daries of the lobules are imper-fectly defined by the irregular areas representing the poorly-developed capsule of Glisson. sideration of the vascular supply is necessary to an understanding ofthe structure of the lobule. The interlobular vessels, situatedbetween the lobules at their periphery,are continuations of those passingthrough the transverse fissure ; theyare the portal vein, the hepatic ar-tery, and the bile-duct. The portal vein, the largest ofthe interlobular vessels, gives off n Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/textbook-of-normal-histology-including-an-account-of-the-development-of-the-tissues-and-of-the-organs-daries-of-the-lobules-are-imper-fectly-defined-by-the-irregular-areas-representing-the-poorly-developed-capsule-of-glisson-sideration-of-the-vascular-supply-is-necessary-to-an-understanding-ofthe-structure-of-the-lobule-the-interlobular-vessels-situatedbetween-the-lobules-at-their-peripheryare-continuations-of-those-passingthrough-the-transverse-fissure-theyare-the-portal-vein-the-hepatic-ar-tery-and-the-bile-duct-the-portal-vein-the-largest-ofthe-interlobular-vessels-gives-off-n-image338958905.htmlRM2AKCWF5–Textbook of normal histology: including an account of the development of the tissues and of the organs . daries of the lobules are imper-fectly defined by the irregular areas representing the poorly-developed capsule of Glisson. sideration of the vascular supply is necessary to an understanding ofthe structure of the lobule. The interlobular vessels, situatedbetween the lobules at their periphery,are continuations of those passingthrough the transverse fissure ; theyare the portal vein, the hepatic ar-tery, and the bile-duct. The portal vein, the largest ofthe interlobular vessels, gives off n
Essential nutrients for Gall Bladder health including Omega 3, L-Glycine, Omega3, Lecithin on positive orange background. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-gall-bladder-health-including-omega-3-l-glycine-omega3-lecithin-on-positive-orange-background-image433390925.htmlRF2G52JF9–Essential nutrients for Gall Bladder health including Omega 3, L-Glycine, Omega3, Lecithin on positive orange background.
The entomologist's text book : an introduction to the natural history, structure, physiology and classification of insects, including the Crustacea and Arachnida . 3arently analogous to the bile. They are, for the most 116. Figs. 146, Digestive system of Melolontha—147, flitto of Staphylinus (from L. DafourJ. part, inserted into the stomach near its outlet, where thesecretion, which is thus discharged, acts upon the alreadypartially dissolved food, and converts it into a pulpy mass orchyle, the nutritive parts of which, as it passes into the smallgut, are taken up by the inner membrane of the Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-entomologists-text-book-an-introduction-to-the-natural-history-structure-physiology-and-classification-of-insects-including-the-crustacea-and-arachnida-3arently-analogous-to-the-bile-they-are-for-the-most-116-figs-146-digestive-system-of-melolontha147-flitto-of-staphylinus-from-l-dafourj-part-inserted-into-the-stomach-near-its-outlet-where-thesecretion-which-is-thus-discharged-acts-upon-the-alreadypartially-dissolved-food-and-converts-it-into-a-pulpy-mass-orchyle-the-nutritive-parts-of-which-as-it-passes-into-the-smallgut-are-taken-up-by-the-inner-membrane-of-the-image339114082.htmlRM2AKKYD6–The entomologist's text book : an introduction to the natural history, structure, physiology and classification of insects, including the Crustacea and Arachnida . 3arently analogous to the bile. They are, for the most 116. Figs. 146, Digestive system of Melolontha—147, flitto of Staphylinus (from L. DafourJ. part, inserted into the stomach near its outlet, where thesecretion, which is thus discharged, acts upon the alreadypartially dissolved food, and converts it into a pulpy mass orchyle, the nutritive parts of which, as it passes into the smallgut, are taken up by the inner membrane of the
Essential nutrients for Pancreas health including Nickel, Chromium, Cuprum, Manganese. Design set of human organs on light grey background. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-pancreas-health-including-nickel-chromium-cuprum-manganese-design-set-of-human-organs-on-light-grey-background-image433389735.htmlRF2G52H0R–Essential nutrients for Pancreas health including Nickel, Chromium, Cuprum, Manganese. Design set of human organs on light grey background.
Essential nutrients for Pancreas health including Nickel, Chromium, Cuprum, Manganese. Blurred portrait of doctor holding highlighted red Pancreas. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-pancreas-health-including-nickel-chromium-cuprum-manganese-blurred-portrait-of-doctor-holding-highlighted-red-pancreas-image437409525.htmlRF2GBHM8N–Essential nutrients for Pancreas health including Nickel, Chromium, Cuprum, Manganese. Blurred portrait of doctor holding highlighted red Pancreas.
Essential nutrients for Gall Bladder health including Omega 3, L-Glycine, Omega3, Lecithin on light green background. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-gall-bladder-health-including-omega-3-l-glycine-omega3-lecithin-on-light-green-background-image433689108.htmlRF2G5G6TM–Essential nutrients for Gall Bladder health including Omega 3, L-Glycine, Omega3, Lecithin on light green background.
Textbook of normal histology: including an account of the development of the tissues and of the organs . r neces-sity for or probability of theexistence of a membrane tolimit the lumen of the bile-tubule than in the case of other glands. The direct transforma-tion of the secreting hepatic cells into the epithelium of the bile-duct at the margin of theFlG- 225- lobule further opposes the assumption of such limitingmembrane, while examinationof livers in which the tubu-lar type of the acini is re-tained fails to show suchstructures within the luminaof the tubes. Emerging from the lobuleat the pe Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/textbook-of-normal-histology-including-an-account-of-the-development-of-the-tissues-and-of-the-organs-r-neces-sity-for-or-probability-of-theexistence-of-a-membrane-tolimit-the-lumen-of-the-bile-tubule-than-in-the-case-of-other-glands-the-direct-transforma-tion-of-the-secreting-hepatic-cells-into-the-epithelium-of-the-bile-duct-at-the-margin-of-theflg-225-lobule-further-opposes-the-assumption-of-such-limitingmembrane-while-examinationof-livers-in-which-the-tubu-lar-type-of-the-acini-is-re-tained-fails-to-show-suchstructures-within-the-luminaof-the-tubes-emerging-from-the-lobuleat-the-pe-image338957458.htmlRM2AKCRKE–Textbook of normal histology: including an account of the development of the tissues and of the organs . r neces-sity for or probability of theexistence of a membrane tolimit the lumen of the bile-tubule than in the case of other glands. The direct transforma-tion of the secreting hepatic cells into the epithelium of the bile-duct at the margin of theFlG- 225- lobule further opposes the assumption of such limitingmembrane, while examinationof livers in which the tubu-lar type of the acini is re-tained fails to show suchstructures within the luminaof the tubes. Emerging from the lobuleat the pe
Essential nutrients for Gall Bladder health including Omega 3, L-Glycine, Omega3, Lecithin on deep green background. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-gall-bladder-health-including-omega-3-l-glycine-omega3-lecithin-on-deep-green-background-image433689284.htmlRF2G5G730–Essential nutrients for Gall Bladder health including Omega 3, L-Glycine, Omega3, Lecithin on deep green background.
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. in cattle lies in a fold of the mesentery,and its duct, which is single, empties into the intestinefrom fourteen to sixteen inches beyond the ductus cho-ledochus. It is better, therefore, after opening the duo-denum and examining the common bile-duct, to remove theintestines together with the mesentery and including thi pan-creas. The intestines having been removed, the pancreasshould be freed from its attachments and excised. Themesentery should then be dissecte Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/a-reference-handbook-of-the-medical-sciences-embracing-the-entire-range-of-scientific-and-practical-medicine-and-allied-science-in-cattle-lies-in-a-fold-of-the-mesenteryand-its-duct-which-is-single-empties-into-the-intestinefrom-fourteen-to-sixteen-inches-beyond-the-ductus-cho-ledochus-it-is-better-therefore-after-opening-the-duo-denum-and-examining-the-common-bile-duct-to-remove-theintestines-together-with-the-mesentery-and-including-thi-pan-creas-the-intestines-having-been-removed-the-pancreasshould-be-freed-from-its-attachments-and-excised-themesentery-should-then-be-dissecte-image336916703.htmlRM2AG3TKB–. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. in cattle lies in a fold of the mesentery,and its duct, which is single, empties into the intestinefrom fourteen to sixteen inches beyond the ductus cho-ledochus. It is better, therefore, after opening the duo-denum and examining the common bile-duct, to remove theintestines together with the mesentery and including thi pan-creas. The intestines having been removed, the pancreasshould be freed from its attachments and excised. Themesentery should then be dissecte
Essential nutrients for Pancreas health including Nickel, Chromium, Cuprum, Manganese. Design set of human organs on light green background. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-pancreas-health-including-nickel-chromium-cuprum-manganese-design-set-of-human-organs-on-light-green-background-image433689094.htmlRF2G5G6T6–Essential nutrients for Pancreas health including Nickel, Chromium, Cuprum, Manganese. Design set of human organs on light green background.
Practical hydropathy, including plans of baths and remarks on diet, clothing and habits of life.. . 1. The pancrea. 12. The spleen.—Quain and Wilson, THE LITER. 325 The Liver.—Until within a comparatively recent period, the entire functionsof the- liver have been little understood, and little has been written on the sub-ject. Budd, on the Anatomy and Functions of the Liver, is considered thebest work. The liver has been, and is now, too commonly considered withrespect to its office, as merely an organ for purifying the blood of the bile orgall, and applying it to the stimulating of the bowels. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/practical-hydropathy-including-plans-of-baths-and-remarks-on-diet-clothing-and-habits-of-life-1-the-pancrea-12-the-spleenquain-and-wilson-the-liter-325-the-liveruntil-within-a-comparatively-recent-period-the-entire-functionsof-the-liver-have-been-little-understood-and-little-has-been-written-on-the-sub-ject-budd-on-the-anatomy-and-functions-of-the-liver-is-considered-thebest-work-the-liver-has-been-and-is-now-too-commonly-considered-withrespect-to-its-office-as-merely-an-organ-for-purifying-the-blood-of-the-bile-orgall-and-applying-it-to-the-stimulating-of-the-bowels-image340305802.htmlRM2ANJ7EJ–Practical hydropathy, including plans of baths and remarks on diet, clothing and habits of life.. . 1. The pancrea. 12. The spleen.—Quain and Wilson, THE LITER. 325 The Liver.—Until within a comparatively recent period, the entire functionsof the- liver have been little understood, and little has been written on the sub-ject. Budd, on the Anatomy and Functions of the Liver, is considered thebest work. The liver has been, and is now, too commonly considered withrespect to its office, as merely an organ for purifying the blood of the bile orgall, and applying it to the stimulating of the bowels.
Essential nutrients for Pancreas health including Nickel, Chromium, Cuprum, Manganese. Design set of human organs on deep green background. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-pancreas-health-including-nickel-chromium-cuprum-manganese-design-set-of-human-organs-on-deep-green-background-image433689249.htmlRF2G5G71N–Essential nutrients for Pancreas health including Nickel, Chromium, Cuprum, Manganese. Design set of human organs on deep green background.
Textbook of normal histology: including an account of the development of the tissues and of the organs . Section of liver of frog, exhibiting tubu-lar character of gland : a, blood-channelscontaining corpuscles ; i, lumina of hepaticcylinders which correspond to bile-capil-laries ; c, pigment-cell. i8o NORMAL HISTOLOGY.. Section of rabbits liver in which the bile-capillaries(b) have been injected and appear as dark lines betweenthe cells : c, blood-channels. The existence of a distinct independent wall to the bile-capillarieshas been the subject of much conflicting testimony ; according to som Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/textbook-of-normal-histology-including-an-account-of-the-development-of-the-tissues-and-of-the-organs-section-of-liver-of-frog-exhibiting-tubu-lar-character-of-gland-a-blood-channelscontaining-corpuscles-i-lumina-of-hepaticcylinders-which-correspond-to-bile-capil-laries-c-pigment-cell-i8o-normal-histology-section-of-rabbits-liver-in-which-the-bile-capillariesb-have-been-injected-and-appear-as-dark-lines-betweenthe-cells-c-blood-channels-the-existence-of-a-distinct-independent-wall-to-the-bile-capillarieshas-been-the-subject-of-much-conflicting-testimony-according-to-som-image338957734.htmlRM2AKCT1A–Textbook of normal histology: including an account of the development of the tissues and of the organs . Section of liver of frog, exhibiting tubu-lar character of gland : a, blood-channelscontaining corpuscles ; i, lumina of hepaticcylinders which correspond to bile-capil-laries ; c, pigment-cell. i8o NORMAL HISTOLOGY.. Section of rabbits liver in which the bile-capillaries(b) have been injected and appear as dark lines betweenthe cells : c, blood-channels. The existence of a distinct independent wall to the bile-capillarieshas been the subject of much conflicting testimony ; according to som
Essential nutrients for Gall Bladder health including Omega 3, L-Glycine, Omega3, Lecithin on yellow background. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-gall-bladder-health-including-omega-3-l-glycine-omega3-lecithin-on-yellow-background-image433391496.htmlRF2G52K7M–Essential nutrients for Gall Bladder health including Omega 3, L-Glycine, Omega3, Lecithin on yellow background.
Essential nutrients for Pancreas health including Nickel, Chromium, Cuprum, Manganese. Blurred portrait of doctor holding highlighted blue Pancreas. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-pancreas-health-including-nickel-chromium-cuprum-manganese-blurred-portrait-of-doctor-holding-highlighted-blue-pancreas-image437407986.htmlRF2GBHJ9P–Essential nutrients for Pancreas health including Nickel, Chromium, Cuprum, Manganese. Blurred portrait of doctor holding highlighted blue Pancreas.
A manual of human physiology, including histology and microscopical anatomy, with special reference to the requirements of practical medicine . ch, accord-ing to Hammarsten, occurs in normal bile, is a constant colouring-matter of faeces, and was called stercobilin by Vaulair and Masius, butis identical with hydro-bilirubin (Maly). It is, however, probablyidentical with the urinary pigment urobilin of Jaff6 (Stokvis, p. 35).(4.) Cholesterin, C20H440 (H20) is an alcohol which rotates the ray of polarised light to theleft, and whose constitution isunknown; it occurs also inblood, yelk, nervous m Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/a-manual-of-human-physiology-including-histology-and-microscopical-anatomy-with-special-reference-to-the-requirements-of-practical-medicine-ch-accord-ing-to-hammarsten-occurs-in-normal-bile-is-a-constant-colouring-matter-of-faeces-and-was-called-stercobilin-by-vaulair-and-masius-butis-identical-with-hydro-bilirubin-maly-it-is-however-probablyidentical-with-the-urinary-pigment-urobilin-of-jaff6-stokvis-p-354-cholesterin-c20h440-h20-is-an-alcohol-which-rotates-the-ray-of-polarised-light-to-theleft-and-whose-constitution-isunknown-it-occurs-also-inblood-yelk-nervous-m-image340022810.htmlRM2AN5AFP–A manual of human physiology, including histology and microscopical anatomy, with special reference to the requirements of practical medicine . ch, accord-ing to Hammarsten, occurs in normal bile, is a constant colouring-matter of faeces, and was called stercobilin by Vaulair and Masius, butis identical with hydro-bilirubin (Maly). It is, however, probablyidentical with the urinary pigment urobilin of Jaff6 (Stokvis, p. 35).(4.) Cholesterin, C20H440 (H20) is an alcohol which rotates the ray of polarised light to theleft, and whose constitution isunknown; it occurs also inblood, yelk, nervous m
Essential nutrients for Gall Bladder health including Omega 3, L-Glycine, Omega3, Lecithin on light grey background Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-gall-bladder-health-including-omega-3-l-glycine-omega3-lecithin-on-light-grey-background-image433389746.htmlRF2G52H16–Essential nutrients for Gall Bladder health including Omega 3, L-Glycine, Omega3, Lecithin on light grey background
Human anatomy, including structure and development and practical considerations . Section of uninjected liver, showing cords of hepatic cells between capillary blood-vessels. X 450. their nucleus. Such cells, according to Reinke,^ undergo direct division and pro-duce the double nucleated elements constantly encountered in sections of normalli-er. Centrosomes have also been observed in resting hepatic cells. Particles ofglycogen, minute oil droplets, and granules of bile-pigment are more or less constantconstituents of these elements. The fat-containing cells are most numerous at theperiphery Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/human-anatomy-including-structure-and-development-and-practical-considerations-section-of-uninjected-liver-showing-cords-of-hepatic-cells-between-capillary-blood-vessels-x-450-their-nucleus-such-cells-according-to-reinke-undergo-direct-division-and-pro-duce-the-double-nucleated-elements-constantly-encountered-in-sections-of-normalli-er-centrosomes-have-also-been-observed-in-resting-hepatic-cells-particles-ofglycogen-minute-oil-droplets-and-granules-of-bile-pigment-are-more-or-less-constantconstituents-of-these-elements-the-fat-containing-cells-are-most-numerous-at-theperiphery-image340160943.htmlRM2ANBJN3–Human anatomy, including structure and development and practical considerations . Section of uninjected liver, showing cords of hepatic cells between capillary blood-vessels. X 450. their nucleus. Such cells, according to Reinke,^ undergo direct division and pro-duce the double nucleated elements constantly encountered in sections of normalli-er. Centrosomes have also been observed in resting hepatic cells. Particles ofglycogen, minute oil droplets, and granules of bile-pigment are more or less constantconstituents of these elements. The fat-containing cells are most numerous at theperiphery
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Textbook of normal histology: including an account of the development of the tissues and of the organs . Diagram of the structure of the liver:P. V., the portal or interlobular vein,which breaks up into the capillary net-workof the lobule; H. V., central intralobularvein, a branch of the hepatic; H. A., he-patic artery, supplying nutrition to the in-terlobular structures and terminating in thelobular capillary net-work ; B.D., the inter-lobular bile-duct which takes up the bile-capillaries at the periphery of the lobule. !^8 NORMAL HISTOLOGY. secreting hepatic tissue, comprising the liver-cell Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/textbook-of-normal-histology-including-an-account-of-the-development-of-the-tissues-and-of-the-organs-diagram-of-the-structure-of-the-liverp-v-the-portal-or-interlobular-veinwhich-breaks-up-into-the-capillary-net-workof-the-lobule-h-v-central-intralobularvein-a-branch-of-the-hepatic-h-a-he-patic-artery-supplying-nutrition-to-the-in-terlobular-structures-and-terminating-in-thelobular-capillary-net-work-bd-the-inter-lobular-bile-duct-which-takes-up-the-bile-capillaries-at-the-periphery-of-the-lobule-!8-normal-histology-secreting-hepatic-tissue-comprising-the-liver-cell-image338958639.htmlRM2AKCW5K–Textbook of normal histology: including an account of the development of the tissues and of the organs . Diagram of the structure of the liver:P. V., the portal or interlobular vein,which breaks up into the capillary net-workof the lobule; H. V., central intralobularvein, a branch of the hepatic; H. A., he-patic artery, supplying nutrition to the in-terlobular structures and terminating in thelobular capillary net-work ; B.D., the inter-lobular bile-duct which takes up the bile-capillaries at the periphery of the lobule. !^8 NORMAL HISTOLOGY. secreting hepatic tissue, comprising the liver-cell
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Textbook of normal histology: including an account of the development of the tissues and of the organs . eir primitive type of the tubular glandthe bile-capillaries appear as minuteducts placed centrally within the cordsof the hepatic cells, the biliary passagesrepresenting lumina of tubular acinilined with secreting glandular epithe-lium. In man, however, the liver-cellsare usually bordered on all sides, ex-cept on that lying next the blood-vessels, by the delicate bile-canaliculi,the latter never interposing betweenthe cells and the blood-channels. The bile-capillaries exist as narrow(1-2 ,j Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/textbook-of-normal-histology-including-an-account-of-the-development-of-the-tissues-and-of-the-organs-eir-primitive-type-of-the-tubular-glandthe-bile-capillaries-appear-as-minuteducts-placed-centrally-within-the-cordsof-the-hepatic-cells-the-biliary-passagesrepresenting-lumina-of-tubular-acinilined-with-secreting-glandular-epithe-lium-in-man-however-the-liver-cellsare-usually-bordered-on-all-sides-ex-cept-on-that-lying-next-the-blood-vessels-by-the-delicate-bile-canaliculithe-latter-never-interposing-betweenthe-cells-and-the-blood-channels-the-bile-capillaries-exist-as-narrow1-2-j-image338957950.htmlRM2AKCT92–Textbook of normal histology: including an account of the development of the tissues and of the organs . eir primitive type of the tubular glandthe bile-capillaries appear as minuteducts placed centrally within the cordsof the hepatic cells, the biliary passagesrepresenting lumina of tubular acinilined with secreting glandular epithe-lium. In man, however, the liver-cellsare usually bordered on all sides, ex-cept on that lying next the blood-vessels, by the delicate bile-canaliculi,the latter never interposing betweenthe cells and the blood-channels. The bile-capillaries exist as narrow(1-2 ,j
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. Medical diagnosis for the student and practitioner. FiG. 78.—Renal cells. Various forms, including compound granule cells.. Fig. 79.—Bladder epithelium. {Various forms.) lar shape, being sometimes polygonal or cubicular, but, as contrasted withthe leucocyte, all renal cells are mononuclear * * Degenerated cells may of course show no trace of a nucleus. Alwaysmononuclear. 2& MEDICAL DIAGNOSIS Pelvic cells. Pavementepithelium. Significance. In cases of obstructive jaundice the renal cells are often distinctly bile-stained. Caudate cells arranged in overlapping layers are often described as the Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/medical-diagnosis-for-the-student-and-practitioner-fig-78renal-cells-various-forms-including-compound-granule-cells-fig-79bladder-epithelium-various-forms-lar-shape-being-sometimes-polygonal-or-cubicular-but-as-contrasted-withthe-leucocyte-all-renal-cells-are-mononuclear-degenerated-cells-may-of-course-show-no-trace-of-a-nucleus-alwaysmononuclear-2-medical-diagnosis-pelvic-cells-pavementepithelium-significance-in-cases-of-obstructive-jaundice-the-renal-cells-are-often-distinctly-bile-stained-caudate-cells-arranged-in-overlapping-layers-are-often-described-as-the-image336908595.htmlRM2AG3E9R–. Medical diagnosis for the student and practitioner. FiG. 78.—Renal cells. Various forms, including compound granule cells.. Fig. 79.—Bladder epithelium. {Various forms.) lar shape, being sometimes polygonal or cubicular, but, as contrasted withthe leucocyte, all renal cells are mononuclear * * Degenerated cells may of course show no trace of a nucleus. Alwaysmononuclear. 2& MEDICAL DIAGNOSIS Pelvic cells. Pavementepithelium. Significance. In cases of obstructive jaundice the renal cells are often distinctly bile-stained. Caudate cells arranged in overlapping layers are often described as the
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Human anatomy, including structure and development and practical considerations . diameter of the bile-capil-laries, from .001-.002 mm., remains prac-tically the same throughout the lobule untilthe canaliculi reach the extreme periphery.At this point the liver-cells abruptly dimin-ish in height and are transformed into thelow cuboidal cells lining the excretory tubesthat pass from the lobule into the surround-ing connective tissue to become tributariesto the larger interlobular bile-ducts. The ultimate relations between thebile-capillaries and the liver-cells is still asubject of discussion. B Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/human-anatomy-including-structure-and-development-and-practical-considerations-diameter-of-the-bile-capil-laries-from-001-002-mm-remains-prac-tically-the-same-throughout-the-lobule-untilthe-canaliculi-reach-the-extreme-peripheryat-this-point-the-liver-cells-abruptly-dimin-ish-in-height-and-are-transformed-into-thelow-cuboidal-cells-lining-the-excretory-tubesthat-pass-from-the-lobule-into-the-surround-ing-connective-tissue-to-become-tributariesto-the-larger-interlobular-bile-ducts-the-ultimate-relations-between-thebile-capillaries-and-the-liver-cells-is-still-asubject-of-discussion-b-image340159927.htmlRM2ANBHCR–Human anatomy, including structure and development and practical considerations . diameter of the bile-capil-laries, from .001-.002 mm., remains prac-tically the same throughout the lobule untilthe canaliculi reach the extreme periphery.At this point the liver-cells abruptly dimin-ish in height and are transformed into thelow cuboidal cells lining the excretory tubesthat pass from the lobule into the surround-ing connective tissue to become tributariesto the larger interlobular bile-ducts. The ultimate relations between thebile-capillaries and the liver-cells is still asubject of discussion. B
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Veterinary obstetrics, including the diseases of breeding animals and of the new-born . C, Cloaca. TA, Thyroid body. TO, CEsophagus. TP PharynxW, Liver. WD, Bile duct. YK, Yolk stalk, cut short. (Marshall). 3IO Veterinary Obstetrics creases in length far more rapidly than the body and drops awayfrom the dorsal portion of the body cavity to float freely, con-fined in position only by the mesentery, which it has derivedfrom the superior wall of the abdomen and carried with it in itsdescent. At first the posterior gut of the embryo represents jointly theintestine and the genito-urinary passages a Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/veterinary-obstetrics-including-the-diseases-of-breeding-animals-and-of-the-new-born-c-cloaca-ta-thyroid-body-to-cesophagus-tp-pharynxw-liver-wd-bile-duct-yk-yolk-stalk-cut-short-marshall-3io-veterinary-obstetrics-creases-in-length-far-more-rapidly-than-the-body-and-drops-awayfrom-the-dorsal-portion-of-the-body-cavity-to-float-freely-con-fined-in-position-only-by-the-mesentery-which-it-has-derivedfrom-the-superior-wall-of-the-abdomen-and-carried-with-it-in-itsdescent-at-first-the-posterior-gut-of-the-embryo-represents-jointly-theintestine-and-the-genito-urinary-passages-a-image342654002.htmlRM2AWD6JX–Veterinary obstetrics, including the diseases of breeding animals and of the new-born . C, Cloaca. TA, Thyroid body. TO, CEsophagus. TP PharynxW, Liver. WD, Bile duct. YK, Yolk stalk, cut short. (Marshall). 3IO Veterinary Obstetrics creases in length far more rapidly than the body and drops awayfrom the dorsal portion of the body cavity to float freely, con-fined in position only by the mesentery, which it has derivedfrom the superior wall of the abdomen and carried with it in itsdescent. At first the posterior gut of the embryo represents jointly theintestine and the genito-urinary passages a
Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Design set of main human organs with vitamins Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-liver-health-including-omega-3-carnitine-biotin-vitamin-pp-vitamin-b-design-set-of-main-human-organs-with-vitamins-image433689361.htmlRF2G5G75N–Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Design set of main human organs with vitamins
Textbook of normal histology: including an account of the development of the tissues and of the organs . Section of liver of dog, including portion of lobule andinterlobular connective tissue («); b, portal vein ; r,hepatic artery; d, bile-ducts ; e, small peripheral bile-vessel ; g, blood-channels ; h, hepatic tissue. THE DIGESTIVE TRACT. 181 Fig. 226.. Transverse section of large bile-ductfrom human liver : a, epithelial lining;/>, fibro-muscular coat; c, surroundingareolar tissue. comprise an outer fibrous adventitia and an inner mucousmembrane. The latter, in addition to the columnar ep Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/textbook-of-normal-histology-including-an-account-of-the-development-of-the-tissues-and-of-the-organs-section-of-liver-of-dog-including-portion-of-lobule-andinterlobular-connective-tissue-b-portal-vein-rhepatic-artery-d-bile-ducts-e-small-peripheral-bile-vessel-g-blood-channels-h-hepatic-tissue-the-digestive-tract-181-fig-226-transverse-section-of-large-bile-ductfrom-human-liver-a-epithelial-lininggt-fibro-muscular-coat-c-surroundingareolar-tissue-comprise-an-outer-fibrous-adventitia-and-an-inner-mucousmembrane-the-latter-in-addition-to-the-columnar-ep-image338957167.htmlRM2AKCR93–Textbook of normal histology: including an account of the development of the tissues and of the organs . Section of liver of dog, including portion of lobule andinterlobular connective tissue («); b, portal vein ; r,hepatic artery; d, bile-ducts ; e, small peripheral bile-vessel ; g, blood-channels ; h, hepatic tissue. THE DIGESTIVE TRACT. 181 Fig. 226.. Transverse section of large bile-ductfrom human liver : a, epithelial lining;/>, fibro-muscular coat; c, surroundingareolar tissue. comprise an outer fibrous adventitia and an inner mucousmembrane. The latter, in addition to the columnar ep
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Manual of pathology : including bacteriology, the technic of postmortems, and methods of pathologic research . ^^ •i:?:-; .r^^^. Fig. 362.—Liver, Cirrhosis .d Marked Fatty Infiltration.Death was the result of croupous pneumonia, and, therefore, an added granular degeneration (cloudy swelling)of the few p^e^•iously unaltered liver cells is also present. .4, .4. Groups of granular liver cells. B. Livercell, the protoplasm of which is almost completely replaced by fat. C. Imperfectly outlined bile-duct. D.Branch of i»rtal vein surrounded by the newly formed fibrous tissue. organ may possess a sp Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/manual-of-pathology-including-bacteriology-the-technic-of-postmortems-and-methods-of-pathologic-research-i-r-fig-362liver-cirrhosis-d-marked-fatty-infiltrationdeath-was-the-result-of-croupous-pneumonia-and-therefore-an-added-granular-degeneration-cloudy-swellingof-the-few-peiously-unaltered-liver-cells-is-also-present-4-4-groups-of-granular-liver-cells-b-livercell-the-protoplasm-of-which-is-almost-completely-replaced-by-fat-c-imperfectly-outlined-bile-duct-dbranch-of-irtal-vein-surrounded-by-the-newly-formed-fibrous-tissue-organ-may-possess-a-sp-image338406130.htmlRM2AJFMD6–Manual of pathology : including bacteriology, the technic of postmortems, and methods of pathologic research . ^^ •i:?:-; .r^^^. Fig. 362.—Liver, Cirrhosis .d Marked Fatty Infiltration.Death was the result of croupous pneumonia, and, therefore, an added granular degeneration (cloudy swelling)of the few p^e^•iously unaltered liver cells is also present. .4, .4. Groups of granular liver cells. B. Livercell, the protoplasm of which is almost completely replaced by fat. C. Imperfectly outlined bile-duct. D.Branch of i»rtal vein surrounded by the newly formed fibrous tissue. organ may possess a sp
Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Design set of main human organs with vitamins Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-liver-health-including-omega-3-carnitine-biotin-vitamin-pp-vitamin-b-design-set-of-main-human-organs-with-vitamins-image433391320.htmlRF2G52K1C–Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Design set of main human organs with vitamins
Manual of pathology : including bacteriology, the technic of postmortems, and methods of pathologic research . The Ascaris lumbricoides ^ is a yellowish oryellowish-brown worm, varying in length; thefemale measures about 15 cm. to 30 cm.; themale, 9 cm. to 20 cm. The worm is striatedtransversely and possesses four longitudinal bands. Round worms aremost common in children, occupying the upper portion of the small in-testine, from which they may wander into the bile-ducts, stomach, eso-phagus, nose, Eustachian tube, and larynx. The number in any casevaries; rarely are they present in large numb Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/manual-of-pathology-including-bacteriology-the-technic-of-postmortems-and-methods-of-pathologic-research-the-ascaris-lumbricoides-is-a-yellowish-oryellowish-brown-worm-varying-in-length-thefemale-measures-about-15-cm-to-30-cm-themale-9-cm-to-20-cm-the-worm-is-striatedtransversely-and-possesses-four-longitudinal-bands-round-worms-aremost-common-in-children-occupying-the-upper-portion-of-the-small-in-testine-from-which-they-may-wander-into-the-bile-ducts-stomach-eso-phagus-nose-eustachian-tube-and-larynx-the-number-in-any-casevaries-rarely-are-they-present-in-large-numb-image338456512.htmlRM2AJJ0MG–Manual of pathology : including bacteriology, the technic of postmortems, and methods of pathologic research . The Ascaris lumbricoides ^ is a yellowish oryellowish-brown worm, varying in length; thefemale measures about 15 cm. to 30 cm.; themale, 9 cm. to 20 cm. The worm is striatedtransversely and possesses four longitudinal bands. Round worms aremost common in children, occupying the upper portion of the small in-testine, from which they may wander into the bile-ducts, stomach, eso-phagus, nose, Eustachian tube, and larynx. The number in any casevaries; rarely are they present in large numb
Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Design set of main human organs with vitamins Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-liver-health-including-omega-3-carnitine-biotin-vitamin-pp-vitamin-b-design-set-of-main-human-organs-with-vitamins-image433389699.htmlRF2G52GYF–Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Design set of main human organs with vitamins
Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Blurred portrait of doctor holding highlighted blue Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-liver-health-including-omega-3-carnitine-biotin-vitamin-pp-vitamin-b-blurred-portrait-of-doctor-holding-highlighted-blue-image437408367.htmlRF2GBHJRB–Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Blurred portrait of doctor holding highlighted blue
Human anatomy, including structure and development and practical considerations . Diagrammatic section passing through level of foramen of VVinslow,showing relations of parietal and visceral peritoneum within lesser sac(I.S) GH, cut gastro-hepatic omentum, containing portal vein (P), he-patic arten,- (iy),and bile-duct {B) St. stomach ; 6.S, gastro-splenic omen-tum ; LR, lieno-renal omentum ; VC, A, vena cava and aorta. 1748 HUMAN ANATOMY cur-ature of the stomach, where it is continuous on the left with the double layercoming from the spleen and on the right with that coming from the inferi Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/human-anatomy-including-structure-and-development-and-practical-considerations-diagrammatic-section-passing-through-level-of-foramen-of-vvinslowshowing-relations-of-parietal-and-visceral-peritoneum-within-lesser-sacis-gh-cut-gastro-hepatic-omentum-containing-portal-vein-p-he-patic-arten-iyand-bile-duct-b-st-stomach-6s-gastro-splenic-omen-tum-lr-lieno-renal-omentum-vc-a-vena-cava-and-aorta-1748-human-anatomy-cur-ature-of-the-stomach-where-it-is-continuous-on-the-left-with-the-double-layercoming-from-the-spleen-and-on-the-right-with-that-coming-from-the-inferi-image340142320.htmlRM2ANAR00–Human anatomy, including structure and development and practical considerations . Diagrammatic section passing through level of foramen of VVinslow,showing relations of parietal and visceral peritoneum within lesser sac(I.S) GH, cut gastro-hepatic omentum, containing portal vein (P), he-patic arten,- (iy),and bile-duct {B) St. stomach ; 6.S, gastro-splenic omen-tum ; LR, lieno-renal omentum ; VC, A, vena cava and aorta. 1748 HUMAN ANATOMY cur-ature of the stomach, where it is continuous on the left with the double layercoming from the spleen and on the right with that coming from the inferi
Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Blurred portrait of doctor holding highlighted blue Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-liver-health-including-omega-3-carnitine-biotin-vitamin-pp-vitamin-b-blurred-portrait-of-doctor-holding-highlighted-blue-image437407752.htmlRF2GBHJ1C–Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Blurred portrait of doctor holding highlighted blue
Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Design set of main human organs with vitamins Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-liver-health-including-omega-3-carnitine-biotin-vitamin-pp-vitamin-b-design-set-of-main-human-organs-with-vitamins-image433689218.htmlRF2G5G70J–Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Design set of main human organs with vitamins
Human anatomy, including structure and development and practical considerations . ere are also circular and oblique ones. The gall-bladder (vesica fcllca) is a pear-shaped recej)tacle for the bile, rest-in ti^ in its fossa on the under side of the liver, with the lar^e end forward. Thelong axis runs also somewhat inward. The length is from 8-10 cm. (3JS^-4 in.)and the capacity some 50 c.c. (about i>4 fl. oz.). It narrows to a point whereit usually bends to the left and ends in the cystic duct without definite externaldemarcation. The bent terminal jiortion, or neck, about i cm. long, is mor Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/human-anatomy-including-structure-and-development-and-practical-considerations-ere-are-also-circular-and-oblique-ones-the-gall-bladder-vesica-fcllca-is-a-pear-shaped-recejtacle-for-the-bile-rest-in-ti-in-its-fossa-on-the-under-side-of-the-liver-with-the-lare-end-forward-thelong-axis-runs-also-somewhat-inward-the-length-is-from-8-10-cm-3js-4-inand-the-capacity-some-50-cc-about-igt4-fl-oz-it-narrows-to-a-point-whereit-usually-bends-to-the-left-and-ends-in-the-cystic-duct-without-definite-externaldemarcation-the-bent-terminal-jiortion-or-neck-about-i-cm-long-is-mor-image340158182.htmlRM2ANBF6E–Human anatomy, including structure and development and practical considerations . ere are also circular and oblique ones. The gall-bladder (vesica fcllca) is a pear-shaped recej)tacle for the bile, rest-in ti^ in its fossa on the under side of the liver, with the lar^e end forward. Thelong axis runs also somewhat inward. The length is from 8-10 cm. (3JS^-4 in.)and the capacity some 50 c.c. (about i>4 fl. oz.). It narrows to a point whereit usually bends to the left and ends in the cystic duct without definite externaldemarcation. The bent terminal jiortion, or neck, about i cm. long, is mor
Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Design set of main human organs with vitamins Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-liver-health-including-omega-3-carnitine-biotin-vitamin-pp-vitamin-b-design-set-of-main-human-organs-with-vitamins-image433689036.htmlRF2G5G6P4–Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Design set of main human organs with vitamins
. Diseases of the gall-bladder and bile-ducts, including gall-stones . Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-image375982425.htmlRM2CRKDBN–. Diseases of the gall-bladder and bile-ducts, including gall-stones .
Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Design set of main human organs with vitamins Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-liver-health-including-omega-3-carnitine-biotin-vitamin-pp-vitamin-b-design-set-of-main-human-organs-with-vitamins-image433390804.htmlRF2G52JB0–Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Design set of main human organs with vitamins
Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Blurred portrait of doctor holding highlighted red L Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-liver-health-including-omega-3-carnitine-biotin-vitamin-pp-vitamin-b-blurred-portrait-of-doctor-holding-highlighted-red-l-image437409302.htmlRF2GBHM0P–Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Blurred portrait of doctor holding highlighted red L
. Text-book of normal histology: including an account of the development of the tissues and of the organs. ries of the lobules are imper-fectly defined by the irregular areas representing the poorly-developed capsule of Glisson. sideration of the vascular supply is necessary to an understanding ofthe structure of the lobule. The interlobular vessels, situatedbetween the lobules at their periphery,are continuations of those passingthrough the transverse fissure; theyare the portal vein, the hepatic ar-tery, and the bile-duct. The portal vein, the largest ofthe interlobular vessels, gives off nu Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/text-book-of-normal-histology-including-an-account-of-the-development-of-the-tissues-and-of-the-organs-ries-of-the-lobules-are-imper-fectly-defined-by-the-irregular-areas-representing-the-poorly-developed-capsule-of-glisson-sideration-of-the-vascular-supply-is-necessary-to-an-understanding-ofthe-structure-of-the-lobule-the-interlobular-vessels-situatedbetween-the-lobules-at-their-peripheryare-continuations-of-those-passingthrough-the-transverse-fissure-theyare-the-portal-vein-the-hepatic-ar-tery-and-the-bile-duct-the-portal-vein-the-largest-ofthe-interlobular-vessels-gives-off-nu-image370384384.htmlRM2CEGD1M–. Text-book of normal histology: including an account of the development of the tissues and of the organs. ries of the lobules are imper-fectly defined by the irregular areas representing the poorly-developed capsule of Glisson. sideration of the vascular supply is necessary to an understanding ofthe structure of the lobule. The interlobular vessels, situatedbetween the lobules at their periphery,are continuations of those passingthrough the transverse fissure; theyare the portal vein, the hepatic ar-tery, and the bile-duct. The portal vein, the largest ofthe interlobular vessels, gives off nu
Essential nutrients for Gall Bladder health including Omega 3, L-Glycine, Omega3, Lecithin. Blurred portrait of doctor holding highlighted blue Gall B Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-gall-bladder-health-including-omega-3-l-glycine-omega3-lecithin-blurred-portrait-of-doctor-holding-highlighted-blue-gall-b-image437407858.htmlRF2GBHJ56–Essential nutrients for Gall Bladder health including Omega 3, L-Glycine, Omega3, Lecithin. Blurred portrait of doctor holding highlighted blue Gall B
. Diseases of the gall-bladder and bile-ducts, including gall-stones . sexplaining the remission of jaundice in many cases, whereit might have been supposed that the jaundice would bepersistent. In the greater number of the cases of floatingstone tabulated below, the concretions were, though easilymoved by the fingers, too fixed to be called floating. Fenger explains the contracted condition of the gall-bladder, which is almost universally found in cholelithiasis,by this floating of gall-stones in the ducts ; but, as thesame condition occurs where the gall-stones are fixed, thisexplanation mus Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-sexplaining-the-remission-of-jaundice-in-many-cases-whereit-might-have-been-supposed-that-the-jaundice-would-bepersistent-in-the-greater-number-of-the-cases-of-floatingstone-tabulated-below-the-concretions-were-though-easilymoved-by-the-fingers-too-fixed-to-be-called-floating-fenger-explains-the-contracted-condition-of-the-gall-bladder-which-is-almost-universally-found-in-cholelithiasisby-this-floating-of-gall-stones-in-the-ducts-but-as-thesame-condition-occurs-where-the-gall-stones-are-fixed-thisexplanation-mus-image375983833.htmlRM2CRKF61–. Diseases of the gall-bladder and bile-ducts, including gall-stones . sexplaining the remission of jaundice in many cases, whereit might have been supposed that the jaundice would bepersistent. In the greater number of the cases of floatingstone tabulated below, the concretions were, though easilymoved by the fingers, too fixed to be called floating. Fenger explains the contracted condition of the gall-bladder, which is almost universally found in cholelithiasis,by this floating of gall-stones in the ducts ; but, as thesame condition occurs where the gall-stones are fixed, thisexplanation mus
Essential nutrients for Gall Bladder health including Omega 3, L-Glycine, Omega3, Lecithin. Blurred portrait of doctor holding highlighted red Gall Bl Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-gall-bladder-health-including-omega-3-l-glycine-omega3-lecithin-blurred-portrait-of-doctor-holding-highlighted-red-gall-bl-image437409395.htmlRF2GBHM43–Essential nutrients for Gall Bladder health including Omega 3, L-Glycine, Omega3, Lecithin. Blurred portrait of doctor holding highlighted red Gall Bl
. Diseases of the gall-bladder and bile-ducts, including gall-stones . the decalcified bone bobbin. (c) By means of Murphys button. My first case, in 1889, was performed by suture, mysecond and third by means of the decalcified bone bobbins,and in all my later cases the Murphy button has been used.Although in the cases unassociated with cancer all exceptone recovered, it is decidedly preferable to make the unionby means of the Murphy button, both on account of itsefficiency and the expedition with which it can be used. GALL-STONES, OR CHOLELITHIASIS 285 The operation of cholecystenterostomy is Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-the-decalcified-bone-bobbin-c-by-means-of-murphys-button-my-first-case-in-1889-was-performed-by-suture-mysecond-and-third-by-means-of-the-decalcified-bone-bobbinsand-in-all-my-later-cases-the-murphy-button-has-been-usedalthough-in-the-cases-unassociated-with-cancer-all-exceptone-recovered-it-is-decidedly-preferable-to-make-the-unionby-means-of-the-murphy-button-both-on-account-of-itsefficiency-and-the-expedition-with-which-it-can-be-used-gall-stones-or-cholelithiasis-285-the-operation-of-cholecystenterostomy-is-image375983365.htmlRM2CRKEH9–. Diseases of the gall-bladder and bile-ducts, including gall-stones . the decalcified bone bobbin. (c) By means of Murphys button. My first case, in 1889, was performed by suture, mysecond and third by means of the decalcified bone bobbins,and in all my later cases the Murphy button has been used.Although in the cases unassociated with cancer all exceptone recovered, it is decidedly preferable to make the unionby means of the Murphy button, both on account of itsefficiency and the expedition with which it can be used. GALL-STONES, OR CHOLELITHIASIS 285 The operation of cholecystenterostomy is
Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Blurred portrait of doctor holding highlighted red L Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-liver-health-including-omega-3-carnitine-biotin-vitamin-pp-vitamin-b-blurred-portrait-of-doctor-holding-highlighted-red-l-image437409712.htmlRF2GBHMFC–Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Blurred portrait of doctor holding highlighted red L
Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Design set of main human organs with molecular grid Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-liver-health-including-omega-3-carnitine-biotin-vitamin-pp-vitamin-b-design-set-of-main-human-organs-with-molecular-grid-image433689476.htmlRF2G5G79T–Essential nutrients for Liver health including Omega-3, Carnitine, Biotin, Vitamin PP, Vitamin B. Design set of main human organs with molecular grid
. Diseases of the gall-bladder and bile-ducts, including gall-stones . Fig. 50.—Diagram to show Application of Serous Suture in theBone Bobbin Operation. it is dissolved, and the mucous and serous sutures effectuallyprotect the channel from leakage. If the Murphy button be used, the smallest size is selected,and two running sutures are applied, as shown in the diagram.After the gall-bladder has been emptied, and the bowelclamped either by Murphys intestinal clamps or Lanesclamps, or by a simple elastic tourniquet, the openings aremade in the viscera just sufficiently large to admit theseparate Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-fig-50diagram-to-show-application-of-serous-suture-in-thebone-bobbin-operation-it-is-dissolved-and-the-mucous-and-serous-sutures-effectuallyprotect-the-channel-from-leakage-if-the-murphy-button-be-used-the-smallest-size-is-selectedand-two-running-sutures-are-applied-as-shown-in-the-diagramafter-the-gall-bladder-has-been-emptied-and-the-bowelclamped-either-by-murphys-intestinal-clamps-or-lanesclamps-or-by-a-simple-elastic-tourniquet-the-openings-aremade-in-the-viscera-just-sufficiently-large-to-admit-theseparate-image375983348.htmlRM2CRKEGM–. Diseases of the gall-bladder and bile-ducts, including gall-stones . Fig. 50.—Diagram to show Application of Serous Suture in theBone Bobbin Operation. it is dissolved, and the mucous and serous sutures effectuallyprotect the channel from leakage. If the Murphy button be used, the smallest size is selected,and two running sutures are applied, as shown in the diagram.After the gall-bladder has been emptied, and the bowelclamped either by Murphys intestinal clamps or Lanesclamps, or by a simple elastic tourniquet, the openings aremade in the viscera just sufficiently large to admit theseparate
Essential nutrients for Gall Bladder health including Omega 3, L-Glycine, Omega3, Lecithin. Design set of main human organs with vitamins on blue Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/essential-nutrients-for-gall-bladder-health-including-omega-3-l-glycine-omega3-lecithin-design-set-of-main-human-organs-with-vitamins-on-blue-image433689418.htmlRF2G5G77P–Essential nutrients for Gall Bladder health including Omega 3, L-Glycine, Omega3, Lecithin. Design set of main human organs with vitamins on blue
. Diseases of the gall-bladder and bile-ducts, including gall-stones . Fig. 51.—First Stage of the Button Operation. margins of the openings to slough, and that the true bond ofunion is only slight at first, so that it is well to keep thepatient absolutely quiet for at least a fortnight, lest the newbond of union should give way and permit of extravasationof the visceral contents. In considering the question of cholecystenterostomy, ithas to be borne in mind that the operation can only be done 288 DISEASES OF THE GALL-BLADDER AND BILE-DUCTS when the gall-bladder is of moderate size or dilated, Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-fig-51first-stage-of-the-button-operation-margins-of-the-openings-to-slough-and-that-the-true-bond-ofunion-is-only-slight-at-first-so-that-it-is-well-to-keep-thepatient-absolutely-quiet-for-at-least-a-fortnight-lest-the-newbond-of-union-should-give-way-and-permit-of-extravasationof-the-visceral-contents-in-considering-the-question-of-cholecystenterostomy-ithas-to-be-borne-in-mind-that-the-operation-can-only-be-done-288-diseases-of-the-gall-bladder-and-bile-ducts-when-the-gall-bladder-is-of-moderate-size-or-dilated-image375982846.htmlRM2CRKDXP–. Diseases of the gall-bladder and bile-ducts, including gall-stones . Fig. 51.—First Stage of the Button Operation. margins of the openings to slough, and that the true bond ofunion is only slight at first, so that it is well to keep thepatient absolutely quiet for at least a fortnight, lest the newbond of union should give way and permit of extravasationof the visceral contents. In considering the question of cholecystenterostomy, ithas to be borne in mind that the operation can only be done 288 DISEASES OF THE GALL-BLADDER AND BILE-DUCTS when the gall-bladder is of moderate size or dilated,
. Text-book of normal histology: including an account of the development of the tissues and of the organs. their primitive type of the tubular glandthe bile-capillaries appear as minuteducts placed centrally within the cordsof the hepatic cells, the biliary passagesrepresenting lumina of tubular acinilined with secreting glandular epithe-lium. In man, however, the liver-cellsare usually bordered on all sides, ex-cept on that lying next the blood-vessels, by the deHcatebile-canaliculi,the latter never interposing betweenthe cells and the blood-channels. The bile-capillaries exist as narrow(1-2 Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/text-book-of-normal-histology-including-an-account-of-the-development-of-the-tissues-and-of-the-organs-their-primitive-type-of-the-tubular-glandthe-bile-capillaries-appear-as-minuteducts-placed-centrally-within-the-cordsof-the-hepatic-cells-the-biliary-passagesrepresenting-lumina-of-tubular-acinilined-with-secreting-glandular-epithe-lium-in-man-however-the-liver-cellsare-usually-bordered-on-all-sides-ex-cept-on-that-lying-next-the-blood-vessels-by-the-dehcatebile-canaliculithe-latter-never-interposing-betweenthe-cells-and-the-blood-channels-the-bile-capillaries-exist-as-narrow1-2-image370383698.htmlRM2CEGC56–. Text-book of normal histology: including an account of the development of the tissues and of the organs. their primitive type of the tubular glandthe bile-capillaries appear as minuteducts placed centrally within the cordsof the hepatic cells, the biliary passagesrepresenting lumina of tubular acinilined with secreting glandular epithe-lium. In man, however, the liver-cellsare usually bordered on all sides, ex-cept on that lying next the blood-vessels, by the deHcatebile-canaliculi,the latter never interposing betweenthe cells and the blood-channels. The bile-capillaries exist as narrow(1-2
![. Text-book of normal histology: including an account of the development of the tissues and of the organs. y the blood-VeSSels and thelobules: a, interlobular connective tissue ; ^, f, branches of por- , ■. J <. T!, ] tal vein and of hepatic artery ; ^, bile-ducts ; ^, intralobular vein. UUC - UUCtS. 1 ne de- marcation of the indi-vidual lobules depends upon the development of this interlobularconnective tissue, known as the capsule of Glisson; when welldeveloped, as in the liver of the hog, the lobules are defined withgreat distinctness, being completely surrounded and separated fromtheir Stock Photo](https://c8.alamy.com/comp/2CEGD95/text-book-of-normal-histology-including-an-account-of-the-development-of-the-tissues-and-of-the-organs-y-the-blood-vessels-and-thelobules-a-interlobular-connective-tissue-f-branches-of-por-j-lt-t!-tal-vein-and-of-hepatic-artery-bile-ducts-intralobular-vein-uuc-uucts-1-ne-de-marcation-of-the-indi-vidual-lobules-depends-upon-the-development-of-this-interlobularconnective-tissue-known-as-the-capsule-of-glisson-when-welldeveloped-as-in-the-liver-of-the-hog-the-lobules-are-defined-withgreat-distinctness-being-completely-surrounded-and-separated-fromtheir-2CEGD95.jpg ". Text-book of normal histology: including an account of the development of the tissues and of the organs. y the blood-VeSSels and thelobules: a, interlobular connective tissue ; ^, f, branches of por- , ■. J <. T!, ] tal vein and of hepatic artery ; ^, bile-ducts ; ^, intralobular vein. UUC - UUCtS. 1 ne de- marcation of the indi-vidual lobules depends upon the development of this interlobularconnective tissue, known as the capsule of Glisson; when welldeveloped, as in the liver of the hog, the lobules are defined withgreat distinctness, being completely surrounded and separated fromtheir Stock Photo")
. Text-book of normal histology: including an account of the development of the tissues and of the organs. y the blood-VeSSels and thelobules: a, interlobular connective tissue ; ^, f, branches of por- , ■. J <. T!, ] tal vein and of hepatic artery ; ^, bile-ducts ; ^, intralobular vein. UUC - UUCtS. 1 ne de- marcation of the indi-vidual lobules depends upon the development of this interlobularconnective tissue, known as the capsule of Glisson; when welldeveloped, as in the liver of the hog, the lobules are defined withgreat distinctness, being completely surrounded and separated fromtheir Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/text-book-of-normal-histology-including-an-account-of-the-development-of-the-tissues-and-of-the-organs-y-the-blood-vessels-and-thelobules-a-interlobular-connective-tissue-f-branches-of-por-j-lt-t!-tal-vein-and-of-hepatic-artery-bile-ducts-intralobular-vein-uuc-uucts-1-ne-de-marcation-of-the-indi-vidual-lobules-depends-upon-the-development-of-this-interlobularconnective-tissue-known-as-the-capsule-of-glisson-when-welldeveloped-as-in-the-liver-of-the-hog-the-lobules-are-defined-withgreat-distinctness-being-completely-surrounded-and-separated-fromtheir-image370384593.htmlRM2CEGD95–. Text-book of normal histology: including an account of the development of the tissues and of the organs. y the blood-VeSSels and thelobules: a, interlobular connective tissue ; ^, f, branches of por- , ■. J <. T!, ] tal vein and of hepatic artery ; ^, bile-ducts ; ^, intralobular vein. UUC - UUCtS. 1 ne de- marcation of the indi-vidual lobules depends upon the development of this interlobularconnective tissue, known as the capsule of Glisson; when welldeveloped, as in the liver of the hog, the lobules are defined withgreat distinctness, being completely surrounded and separated fromtheir
. Diseases of the gall-bladder and bile-ducts, including gall-stones . he cystic duct. Situated atthe junction of the cystic, hepatic, and common bile-ducts,was a growth about the size of a filbert, which was found,when the ducts were opened, to completely occlude them(see Fig. 41). There were no adhesions in the neighbourhood, nor werethere any secondary growths to be found. The stomachshowed no evidences of ulceration, but there were slightsigns of cirrhosis of the liver. There was no peritonitis. Cancer of the ampulla of Vater was probably first described 10—2 148 DISEASES OF THE GALL-BLADD Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-he-cystic-duct-situated-atthe-junction-of-the-cystic-hepatic-and-common-bile-ductswas-a-growth-about-the-size-of-a-filbert-which-was-foundwhen-the-ducts-were-opened-to-completely-occlude-themsee-fig-41-there-were-no-adhesions-in-the-neighbourhood-nor-werethere-any-secondary-growths-to-be-found-the-stomachshowed-no-evidences-of-ulceration-but-there-were-slightsigns-of-cirrhosis-of-the-liver-there-was-no-peritonitis-cancer-of-the-ampulla-of-vater-was-probably-first-described-102-148-diseases-of-the-gall-bladd-image375984838.htmlRM2CRKGDX–. Diseases of the gall-bladder and bile-ducts, including gall-stones . he cystic duct. Situated atthe junction of the cystic, hepatic, and common bile-ducts,was a growth about the size of a filbert, which was found,when the ducts were opened, to completely occlude them(see Fig. 41). There were no adhesions in the neighbourhood, nor werethere any secondary growths to be found. The stomachshowed no evidences of ulceration, but there were slightsigns of cirrhosis of the liver. There was no peritonitis. Cancer of the ampulla of Vater was probably first described 10—2 148 DISEASES OF THE GALL-BLADD
. Diseases of the gall-bladder and bile-ducts, including gall-stones . ady loss of flesh. At theoperation the stomach was found firmly adherent to thegall-bladder, and on separating the adhesions a fistulabetween the gall-bladder and stomach was found. The edgesof the ulcer in the stomach were pared, and the openingclosed with two rows of sutures; while the opening in thegall-bladder was utilized to remove the gall-stones throughand afterwards to allow drainage. The patient made anexcellent recovery, and is now in good health. The Middlesex Museum has a specimen of gall-bladderstomach fistula. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-ady-loss-of-flesh-at-theoperation-the-stomach-was-found-firmly-adherent-to-thegall-bladder-and-on-separating-the-adhesions-a-fistulabetween-the-gall-bladder-and-stomach-was-found-the-edgesof-the-ulcer-in-the-stomach-were-pared-and-the-openingclosed-with-two-rows-of-sutures-while-the-opening-in-thegall-bladder-was-utilized-to-remove-the-gall-stones-throughand-afterwards-to-allow-drainage-the-patient-made-anexcellent-recovery-and-is-now-in-good-health-the-middlesex-museum-has-a-specimen-of-gall-bladderstomach-fistula-image375987314.htmlRM2CRKKJA–. Diseases of the gall-bladder and bile-ducts, including gall-stones . ady loss of flesh. At theoperation the stomach was found firmly adherent to thegall-bladder, and on separating the adhesions a fistulabetween the gall-bladder and stomach was found. The edgesof the ulcer in the stomach were pared, and the openingclosed with two rows of sutures; while the opening in thegall-bladder was utilized to remove the gall-stones throughand afterwards to allow drainage. The patient made anexcellent recovery, and is now in good health. The Middlesex Museum has a specimen of gall-bladderstomach fistula.
. Diseases of the gall-bladder and bile-ducts, including gall-stones . ety, the whole length of the intes-tinal canal has to be travejsed by the concretions; hencesuch cases are found to be more frequently associated withobstruction than when the fistula is between the gall-bladderand colon, for in the latter case the passage to the anus isaccomplished without difficulty, though occasionally the con-cretions may lodge and cause trouble. When a gall-stone is impacted in the common duct justbefore entering the duodenum, ulceration and perforation ofthe duct are apt to occur, the concretion thus Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-ety-the-whole-length-of-the-intes-tinal-canal-has-to-be-travejsed-by-the-concretions-hencesuch-cases-are-found-to-be-more-frequently-associated-withobstruction-than-when-the-fistula-is-between-the-gall-bladderand-colon-for-in-the-latter-case-the-passage-to-the-anus-isaccomplished-without-difficulty-though-occasionally-the-con-cretions-may-lodge-and-cause-trouble-when-a-gall-stone-is-impacted-in-the-common-duct-justbefore-entering-the-duodenum-ulceration-and-perforation-ofthe-duct-are-apt-to-occur-the-concretion-thus-image375987425.htmlRM2CRKKP9–. Diseases of the gall-bladder and bile-ducts, including gall-stones . ety, the whole length of the intes-tinal canal has to be travejsed by the concretions; hencesuch cases are found to be more frequently associated withobstruction than when the fistula is between the gall-bladderand colon, for in the latter case the passage to the anus isaccomplished without difficulty, though occasionally the con-cretions may lodge and cause trouble. When a gall-stone is impacted in the common duct justbefore entering the duodenum, ulceration and perforation ofthe duct are apt to occur, the concretion thus
. Diseases of the gall-bladder and bile-ducts, including gall-stones . art; if there be no tumour, but an enlarged liver, theupper end of the incision will have to commence at thehepatic margin. If, however, as is so often the case, therebe neither tumour nor enlargement of the liver, the incisionwill be from the ninth costal cartilage, vertically downwardfor 3 inches. The aponeurosis in the semilunar line may be divided,but, as a rule, the fibres of the rectus may be separated, andthe anterior and posterior layers of the rectus sheath willthen be separately cut. If more room be required, it c Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-art-if-there-be-no-tumour-but-an-enlarged-liver-theupper-end-of-the-incision-will-have-to-commence-at-thehepatic-margin-if-however-as-is-so-often-the-case-therebe-neither-tumour-nor-enlargement-of-the-liver-the-incisionwill-be-from-the-ninth-costal-cartilage-vertically-downwardfor-3-inches-the-aponeurosis-in-the-semilunar-line-may-be-dividedbut-as-a-rule-the-fibres-of-the-rectus-may-be-separated-andthe-anterior-and-posterior-layers-of-the-rectus-sheath-willthen-be-separately-cut-if-more-room-be-required-it-c-image375984387.htmlRM2CRKFWR–. Diseases of the gall-bladder and bile-ducts, including gall-stones . art; if there be no tumour, but an enlarged liver, theupper end of the incision will have to commence at thehepatic margin. If, however, as is so often the case, therebe neither tumour nor enlargement of the liver, the incisionwill be from the ninth costal cartilage, vertically downwardfor 3 inches. The aponeurosis in the semilunar line may be divided,but, as a rule, the fibres of the rectus may be separated, andthe anterior and posterior layers of the rectus sheath willthen be separately cut. If more room be required, it c
. Diseases of the gall-bladder and bile-ducts, including gall-stones . Fig. 3.—-Obliteration of Gall-bladder and Common Duct, theResult of Gall-stone Irritation. (No. 1,391, College of Surgeons Museum.) parallel with and projecting beyond the anterior edge of theliver. Rarely the gall-bladder is partly divided longitudinally,and it is said that occasionally there are hepato-cystic ducts,and that the right and left divisions of the hepatic duct 2 18 DISEASES OF THE GALL-BLADDER AND BILE-DUCTS continue separate for some distance within the gastro-hepaticomentum. The accompanying drawing is taken Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-fig-3-obliteration-of-gall-bladder-and-common-duct-theresult-of-gall-stone-irritation-no-1391-college-of-surgeons-museum-parallel-with-and-projecting-beyond-the-anterior-edge-of-theliver-rarely-the-gall-bladder-is-partly-divided-longitudinallyand-it-is-said-that-occasionally-there-are-hepato-cystic-ductsand-that-the-right-and-left-divisions-of-the-hepatic-duct-2-18-diseases-of-the-gall-bladder-and-bile-ducts-continue-separate-for-some-distance-within-the-gastro-hepaticomentum-the-accompanying-drawing-is-taken-image375989942.htmlRM2CRKR06–. Diseases of the gall-bladder and bile-ducts, including gall-stones . Fig. 3.—-Obliteration of Gall-bladder and Common Duct, theResult of Gall-stone Irritation. (No. 1,391, College of Surgeons Museum.) parallel with and projecting beyond the anterior edge of theliver. Rarely the gall-bladder is partly divided longitudinally,and it is said that occasionally there are hepato-cystic ducts,and that the right and left divisions of the hepatic duct 2 18 DISEASES OF THE GALL-BLADDER AND BILE-DUCTS continue separate for some distance within the gastro-hepaticomentum. The accompanying drawing is taken
. Diseases of the gall-bladder and bile-ducts, including gall-stones . , a fingerinserted through the incision felt a stone, which was thenremoved; but had we trusted to a probe the calculus wouldhave been left. The duct is usually dilated sufficiently topermit digital exploration, which under such circumstanceswe should always advise, reserving a bent probe, or, betterstill, a slender bent scoop, for use where the duct is notcapacious enough for the finger. The hepatic duct and itsprimary branches can be readily explored, and in Case 217calculi were removed from them through an incision in th Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-a-fingerinserted-through-the-incision-felt-a-stone-which-was-thenremoved-but-had-we-trusted-to-a-probe-the-calculus-wouldhave-been-left-the-duct-is-usually-dilated-sufficiently-topermit-digital-exploration-which-under-such-circumstanceswe-should-always-advise-reserving-a-bent-probe-or-betterstill-a-slender-bent-scoop-for-use-where-the-duct-is-notcapacious-enough-for-the-finger-the-hepatic-duct-and-itsprimary-branches-can-be-readily-explored-and-in-case-217calculi-were-removed-from-them-through-an-incision-in-th-image375983846.htmlRM2CRKF6E–. Diseases of the gall-bladder and bile-ducts, including gall-stones . , a fingerinserted through the incision felt a stone, which was thenremoved; but had we trusted to a probe the calculus wouldhave been left. The duct is usually dilated sufficiently topermit digital exploration, which under such circumstanceswe should always advise, reserving a bent probe, or, betterstill, a slender bent scoop, for use where the duct is notcapacious enough for the finger. The hepatic duct and itsprimary branches can be readily explored, and in Case 217calculi were removed from them through an incision in th
. Sheet metal workers' manual; a complete, practical instruction book on the sheet metal industry, machinery and tools, and related subjects, including the oxy-acetylen welding and cutting process . r, and has been approved by veteransheet metal workers as a modern and improved methodof bench machine operation. BEADING AND CRIMPING MACHINES The beading or swaging machine is used for makingdepressions in iron, stiffening and ornamenting automo-bile mudguards, pipe, the bodies of vessels, and suchwork, and is very simple to operate. Several pairs of 96 SHEET METAL WORKERS MANUAL rolls of suitabl Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/sheet-metal-workers-manual-a-complete-practical-instruction-book-on-the-sheet-metal-industry-machinery-and-tools-and-related-subjects-including-the-oxy-acetylen-welding-and-cutting-process-r-and-has-been-approved-by-veteransheet-metal-workers-as-a-modern-and-improved-methodof-bench-machine-operation-beading-and-crimping-machines-the-beading-or-swaging-machine-is-used-for-makingdepressions-in-iron-stiffening-and-ornamenting-automo-bile-mudguards-pipe-the-bodies-of-vessels-and-suchwork-and-is-very-simple-to-operate-several-pairs-of-96-sheet-metal-workers-manual-rolls-of-suitabl-image372518855.htmlRM2CJ1KGR–. Sheet metal workers' manual; a complete, practical instruction book on the sheet metal industry, machinery and tools, and related subjects, including the oxy-acetylen welding and cutting process . r, and has been approved by veteransheet metal workers as a modern and improved methodof bench machine operation. BEADING AND CRIMPING MACHINES The beading or swaging machine is used for makingdepressions in iron, stiffening and ornamenting automo-bile mudguards, pipe, the bodies of vessels, and suchwork, and is very simple to operate. Several pairs of 96 SHEET METAL WORKERS MANUAL rolls of suitabl
. Text-book of normal histology: including an account of the development of the tissues and of the organs. channelscontaining corpuscles ; b, lumina of hepaticcylinders which correspond to bile-capil-laries ; c, pigment-cell. i8o NORMAL HISTOLOGY. Fig. 224. The exi.stence of a distinct independent wall to the bile-capillarieshas been the subject of much conflicting testimony ; according to some, these vessels are with-out distinct walls of theirown, while other authoritiesregard the existence of a deli-cate special wall consisting of^-v^w Y=>.gf/Y . r/^ij;-jr ^^.,- - a homogeueous structur Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/text-book-of-normal-histology-including-an-account-of-the-development-of-the-tissues-and-of-the-organs-channelscontaining-corpuscles-b-lumina-of-hepaticcylinders-which-correspond-to-bile-capil-laries-c-pigment-cell-i8o-normal-histology-fig-224-the-existence-of-a-distinct-independent-wall-to-the-bile-capillarieshas-been-the-subject-of-much-conflicting-testimony-according-to-some-these-vessels-are-with-out-distinct-walls-of-theirown-while-other-authoritiesregard-the-existence-of-a-deli-cate-special-wall-consisting-of-vw-y=gtgfy-rij-jr-a-homogeueous-structur-image370383652.htmlRM2CEGC3G–. Text-book of normal histology: including an account of the development of the tissues and of the organs. channelscontaining corpuscles ; b, lumina of hepaticcylinders which correspond to bile-capil-laries ; c, pigment-cell. i8o NORMAL HISTOLOGY. Fig. 224. The exi.stence of a distinct independent wall to the bile-capillarieshas been the subject of much conflicting testimony ; according to some, these vessels are with-out distinct walls of theirown, while other authoritiesregard the existence of a deli-cate special wall consisting of^-v^w Y=>.gf/Y . r/^ij;-jr ^^.,- - a homogeueous structur
. Diseases of the gall-bladder and bile-ducts, including gall-stones . h-J. 5 ffl Ph - TUMOURS OF THE GALL-BLADDER AND BILE-DUCTS 125 Where the gall-bladder becomes attached to any hollowviscus a fistula is apt to form (see p. 80). The disease may spread along the mucous membrane andaffect the ducts, and give rise to obstructive symptoms. At times, though rarely, the peritoneum becomes infected,and there then rapidly follows ascites, and obstruction of theveins of the lower extremities. The lymph glands at the hilum are usually affected, butsystemic infection is rare. The very frequent associa Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-h-j-5-ffl-ph-tumours-of-the-gall-bladder-and-bile-ducts-125-where-the-gall-bladder-becomes-attached-to-any-hollowviscus-a-fistula-is-apt-to-form-see-p-80-the-disease-may-spread-along-the-mucous-membrane-andaffect-the-ducts-and-give-rise-to-obstructive-symptoms-at-times-though-rarely-the-peritoneum-becomes-infectedand-there-then-rapidly-follows-ascites-and-obstruction-of-theveins-of-the-lower-extremities-the-lymph-glands-at-the-hilum-are-usually-affected-butsystemic-infection-is-rare-the-very-frequent-associa-image375985875.htmlRM2CRKHPY–. Diseases of the gall-bladder and bile-ducts, including gall-stones . h-J. 5 ffl Ph - TUMOURS OF THE GALL-BLADDER AND BILE-DUCTS 125 Where the gall-bladder becomes attached to any hollowviscus a fistula is apt to form (see p. 80). The disease may spread along the mucous membrane andaffect the ducts, and give rise to obstructive symptoms. At times, though rarely, the peritoneum becomes infected,and there then rapidly follows ascites, and obstruction of theveins of the lower extremities. The lymph glands at the hilum are usually affected, butsystemic infection is rare. The very frequent associa
. Diseases of the gall-bladder and bile-ducts, including gall-stones . h the tube inserted into the cyst afterit had been stitched to the abdominal wall. As a result ofan attempt to connect the cyst with the bowel, peritonitis wasset up, and the patient succumbed. At the autopsy, the cystwas found to be firmly attached to the under surface of theliver, and seemed to be formed by enormous distension of thecommon and cystic ducts. The hepatic duct opened intothe cavity, but there was no communication between it andthe duodenum. Specimen No. 1,419, Guys Museum, shows a dilatation ofthe common bil Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-h-the-tube-inserted-into-the-cyst-afterit-had-been-stitched-to-the-abdominal-wall-as-a-result-ofan-attempt-to-connect-the-cyst-with-the-bowel-peritonitis-wasset-up-and-the-patient-succumbed-at-the-autopsy-the-cystwas-found-to-be-firmly-attached-to-the-under-surface-of-theliver-and-seemed-to-be-formed-by-enormous-distension-of-thecommon-and-cystic-ducts-the-hepatic-duct-opened-intothe-cavity-but-there-was-no-communication-between-it-andthe-duodenum-specimen-no-1419-guys-museum-shows-a-dilatation-ofthe-common-bil-image375985387.htmlRM2CRKH5F–. Diseases of the gall-bladder and bile-ducts, including gall-stones . h the tube inserted into the cyst afterit had been stitched to the abdominal wall. As a result ofan attempt to connect the cyst with the bowel, peritonitis wasset up, and the patient succumbed. At the autopsy, the cystwas found to be firmly attached to the under surface of theliver, and seemed to be formed by enormous distension of thecommon and cystic ducts. The hepatic duct opened intothe cavity, but there was no communication between it andthe duodenum. Specimen No. 1,419, Guys Museum, shows a dilatation ofthe common bil
. Text-book of normal histology: including an account of the development of the tissues and of the organs. a^ Section of rabbits liver in which the bile-capillaries(i) have been injected and appear as dark lines betweenthe cells : c, blood-channels. W^^^^jg^jg lobule further opposes theassumption of such limitingmembrane, while examinationof livers in which the tubu-lar type of the acini is re-tained fails to show suchstructures within the luminaof the tubes. Emerging from the lobuleat the periphery to pass intothe adjacent interlobular con-nective tissue, the small bile-ducts empty into the l Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/text-book-of-normal-histology-including-an-account-of-the-development-of-the-tissues-and-of-the-organs-a-section-of-rabbits-liver-in-which-the-bile-capillariesi-have-been-injected-and-appear-as-dark-lines-betweenthe-cells-c-blood-channels-wjgjg-lobule-further-opposes-theassumption-of-such-limitingmembrane-while-examinationof-livers-in-which-the-tubu-lar-type-of-the-acini-is-re-tained-fails-to-show-suchstructures-within-the-luminaof-the-tubes-emerging-from-the-lobuleat-the-periphery-to-pass-intothe-adjacent-interlobular-con-nective-tissue-the-small-bile-ducts-empty-into-the-l-image370383536.htmlRM2CEGBYC–. Text-book of normal histology: including an account of the development of the tissues and of the organs. a^ Section of rabbits liver in which the bile-capillaries(i) have been injected and appear as dark lines betweenthe cells : c, blood-channels. W^^^^jg^jg lobule further opposes theassumption of such limitingmembrane, while examinationof livers in which the tubu-lar type of the acini is re-tained fails to show suchstructures within the luminaof the tubes. Emerging from the lobuleat the periphery to pass intothe adjacent interlobular con-nective tissue, the small bile-ducts empty into the l
. Diseases of the gall-bladder and bile-ducts, including gall-stones . e Bobbin Operation. united by interrupted catgut stitches, after which the circleof catgut stitches and then the circle of serous sutures iscompleted. If the bone bobbin be used, two continuous sutures onlyare employed : a silk stitch to unite the serous surfaceJ or ^ inch from the visceral openings, and a catgut sutureto join the mucous margins of the visceral openings. For convenience, the posterior semicircle of the seroussuture is first applied, and the needle laid aside for a moment, 286 DISEASES OF THE GALL-BLADDER AN Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-e-bobbin-operation-united-by-interrupted-catgut-stitches-after-which-the-circleof-catgut-stitches-and-then-the-circle-of-serous-sutures-iscompleted-if-the-bone-bobbin-be-used-two-continuous-sutures-onlyare-employed-a-silk-stitch-to-unite-the-serous-surfacej-or-inch-from-the-visceral-openings-and-a-catgut-sutureto-join-the-mucous-margins-of-the-visceral-openings-for-convenience-the-posterior-semicircle-of-the-seroussuture-is-first-applied-and-the-needle-laid-aside-for-a-moment-286-diseases-of-the-gall-bladder-an-image375983305.htmlRM2CRKEF5–. Diseases of the gall-bladder and bile-ducts, including gall-stones . e Bobbin Operation. united by interrupted catgut stitches, after which the circleof catgut stitches and then the circle of serous sutures iscompleted. If the bone bobbin be used, two continuous sutures onlyare employed : a silk stitch to unite the serous surfaceJ or ^ inch from the visceral openings, and a catgut sutureto join the mucous margins of the visceral openings. For convenience, the posterior semicircle of the seroussuture is first applied, and the needle laid aside for a moment, 286 DISEASES OF THE GALL-BLADDER AN
. Diseases of the gall-bladder and bile-ducts, including gall-stones . opsy of the gall-bladder and gall-stones. In some instances the gall-bladder projects beyond theapex of the linguiform projection, as in a case described byDr. Hellier* (Fig. 8). In Case 234 the gall-bladder and linguiform process of theliver reached the caecal region, and the recurrent attacks of * British Medical Journal^ May 4, 1895. ANATOMICAL CONSIDERATIONS pain associated with local peritonitis and unaccompanied byjaundice much resembled recurring appendicitis, the point ofgreatest tenderness being situated midway bet Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-opsy-of-the-gall-bladder-and-gall-stones-in-some-instances-the-gall-bladder-projects-beyond-theapex-of-the-linguiform-projection-as-in-a-case-described-bydr-hellier-fig-8-in-case-234-the-gall-bladder-and-linguiform-process-of-theliver-reached-the-caecal-region-and-the-recurrent-attacks-of-british-medical-journal-may-4-1895-anatomical-considerations-pain-associated-with-local-peritonitis-and-unaccompanied-byjaundice-much-resembled-recurring-appendicitis-the-point-ofgreatest-tenderness-being-situated-midway-bet-image375989492.htmlRM2CRKPC4–. Diseases of the gall-bladder and bile-ducts, including gall-stones . opsy of the gall-bladder and gall-stones. In some instances the gall-bladder projects beyond theapex of the linguiform projection, as in a case described byDr. Hellier* (Fig. 8). In Case 234 the gall-bladder and linguiform process of theliver reached the caecal region, and the recurrent attacks of * British Medical Journal^ May 4, 1895. ANATOMICAL CONSIDERATIONS pain associated with local peritonitis and unaccompanied byjaundice much resembled recurring appendicitis, the point ofgreatest tenderness being situated midway bet
. Diseases of the gall-bladder and bile-ducts, including gall-stones . ment. Catarrh of the bile-ducts probably always accompaniesjaundice from whatever cause, and, as Dr. Moxon haspointed out, a colourless mucus is always found in the bile-ducts when an obstruction in the common duct is complete.A search through the pathological records of Guys Hospitalfor twenty years failed to discover any exception to thisrule. When the obstruction is only partial, the mucus maybe well charged with bile, as the backward pressure is notsufficient to stop the secretion and pouring out of bile intothe ducts. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-ment-catarrh-of-the-bile-ducts-probably-always-accompaniesjaundice-from-whatever-cause-and-as-dr-moxon-haspointed-out-a-colourless-mucus-is-always-found-in-the-bile-ducts-when-an-obstruction-in-the-common-duct-is-completea-search-through-the-pathological-records-of-guys-hospitalfor-twenty-years-failed-to-discover-any-exception-to-thisrule-when-the-obstruction-is-only-partial-the-mucus-maybe-well-charged-with-bile-as-the-backward-pressure-is-notsufficient-to-stop-the-secretion-and-pouring-out-of-bile-intothe-ducts-image375989476.htmlRM2CRKPBG–. Diseases of the gall-bladder and bile-ducts, including gall-stones . ment. Catarrh of the bile-ducts probably always accompaniesjaundice from whatever cause, and, as Dr. Moxon haspointed out, a colourless mucus is always found in the bile-ducts when an obstruction in the common duct is complete.A search through the pathological records of Guys Hospitalfor twenty years failed to discover any exception to thisrule. When the obstruction is only partial, the mucus maybe well charged with bile, as the backward pressure is notsufficient to stop the secretion and pouring out of bile intothe ducts.
. Diseases of the gall-bladder and bile-ducts, including gall-stones . terotomy for acute intestinal obstruction depen-dent on a gall-stone impacted in the jejunum, the patient—awoman of sixty—being now well. She had been subject tobiliary colic for several years. Her symptoms were veryacute, and had persisted for three days. The case was brieflynoted in the Pathological Transactions for 1895, but has notbeen elsewhere reported. Mr. Lund reported a case* in which he had successfullyremoved a large concretion by enterotomy. The interesting* Lancet, July 11, 1896. INTESTINAL OBSTRUCTION 99 point Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-terotomy-for-acute-intestinal-obstruction-depen-dent-on-a-gall-stone-impacted-in-the-jejunum-the-patientawoman-of-sixtybeing-now-well-she-had-been-subject-tobiliary-colic-for-several-years-her-symptoms-were-veryacute-and-had-persisted-for-three-days-the-case-was-brieflynoted-in-the-pathological-transactions-for-1895-but-has-notbeen-elsewhere-reported-mr-lund-reported-a-case-in-which-he-had-successfullyremoved-a-large-concretion-by-enterotomy-the-interesting-lancet-july-11-1896-intestinal-obstruction-99-point-image375986915.htmlRM2CRKK43–. Diseases of the gall-bladder and bile-ducts, including gall-stones . terotomy for acute intestinal obstruction depen-dent on a gall-stone impacted in the jejunum, the patient—awoman of sixty—being now well. She had been subject tobiliary colic for several years. Her symptoms were veryacute, and had persisted for three days. The case was brieflynoted in the Pathological Transactions for 1895, but has notbeen elsewhere reported. Mr. Lund reported a case* in which he had successfullyremoved a large concretion by enterotomy. The interesting* Lancet, July 11, 1896. INTESTINAL OBSTRUCTION 99 point
. Diseases of the gall-bladder and bile-ducts, including gall-stones . l peritoneum,and internally by the peritoneum covering the right side of thevertebral column and passing up to the foramen of Winslow(Fig. 48). Morison-f has found this pouch to be capable of holdingnearly a pint before it overflows into the general peritonealcavity. He advocates drainage of this pouch and non-suture * Johns Hopkins Hosp. Bulletin, 1898. t British Medical Journal, November 3, 1S94. GALL-STONES, OR CHOLELITHIASIS 257 of the ducts, if there be any difficulty in securing the marginsof the opening. Mr. Frederic Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-l-peritoneumand-internally-by-the-peritoneum-covering-the-right-side-of-thevertebral-column-and-passing-up-to-the-foramen-of-winslowfig-48-morison-f-has-found-this-pouch-to-be-capable-of-holdingnearly-a-pint-before-it-overflows-into-the-general-peritonealcavity-he-advocates-drainage-of-this-pouch-and-non-suture-johns-hopkins-hosp-bulletin-1898-t-british-medical-journal-november-3-1s94-gall-stones-or-cholelithiasis-257-of-the-ducts-if-there-be-any-difficulty-in-securing-the-marginsof-the-opening-mr-frederic-image375983861.htmlRM2CRKF71–. Diseases of the gall-bladder and bile-ducts, including gall-stones . l peritoneum,and internally by the peritoneum covering the right side of thevertebral column and passing up to the foramen of Winslow(Fig. 48). Morison-f has found this pouch to be capable of holdingnearly a pint before it overflows into the general peritonealcavity. He advocates drainage of this pouch and non-suture * Johns Hopkins Hosp. Bulletin, 1898. t British Medical Journal, November 3, 1S94. GALL-STONES, OR CHOLELITHIASIS 257 of the ducts, if there be any difficulty in securing the marginsof the opening. Mr. Frederic
. Diseases of the gall-bladder and bile-ducts, including gall-stones . kicked in theabdomen, and died on the seventeenth day from peritonitis.The laceration in the gall-bladder measures f inch (Fig. 21). In all the cases where the history is appended, the fact ofthe long survival after so serious an accident is notable, andthe lesson is manifest, that operation would in each case havegiven good hopes of success. The following successful case* of drainage of the gall-bladder, apparently thirty days after rupture, by Dr. Martinof Blackburn, is of extreme interest, and is therefore given atlength Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-kicked-in-theabdomen-and-died-on-the-seventeenth-day-from-peritonitisthe-laceration-in-the-gall-bladder-measures-f-inch-fig-21-in-all-the-cases-where-the-history-is-appended-the-fact-ofthe-long-survival-after-so-serious-an-accident-is-notable-andthe-lesson-is-manifest-that-operation-would-in-each-case-havegiven-good-hopes-of-success-the-following-successful-case-of-drainage-of-the-gall-bladder-apparently-thirty-days-after-rupture-by-dr-martinof-blackburn-is-of-extreme-interest-and-is-therefore-given-atlength-image375987914.htmlRM2CRKMBP–. Diseases of the gall-bladder and bile-ducts, including gall-stones . kicked in theabdomen, and died on the seventeenth day from peritonitis.The laceration in the gall-bladder measures f inch (Fig. 21). In all the cases where the history is appended, the fact ofthe long survival after so serious an accident is notable, andthe lesson is manifest, that operation would in each case havegiven good hopes of success. The following successful case* of drainage of the gall-bladder, apparently thirty days after rupture, by Dr. Martinof Blackburn, is of extreme interest, and is therefore given atlength
. Diseases of the gall-bladder and bile-ducts, including gall-stones . on round worms werevomited and also found in the motions. The child ultimatelydied, and post-mortem examination revealed dilated bile-ducts, with multiple abscesses in the liver. Mertens supposition, that the worms were enabled toenter the common duct from the duodenum by reason of theducts having been dilated by the previous passage of gall-stones, seems to be the most likely explanation of theirpresence in such an unusual situation. Malignant Disease is a common cause. There is an excellent example {i,30Ja) in St. Thomass Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-on-round-worms-werevomited-and-also-found-in-the-motions-the-child-ultimatelydied-and-post-mortem-examination-revealed-dilated-bile-ducts-with-multiple-abscesses-in-the-liver-mertens-supposition-that-the-worms-were-enabled-toenter-the-common-duct-from-the-duodenum-by-reason-of-theducts-having-been-dilated-by-the-previous-passage-of-gall-stones-seems-to-be-the-most-likely-explanation-of-theirpresence-in-such-an-unusual-situation-malignant-disease-is-a-common-cause-there-is-an-excellent-example-i30ja-in-st-thomass-image375988951.htmlRM2CRKNMR–. Diseases of the gall-bladder and bile-ducts, including gall-stones . on round worms werevomited and also found in the motions. The child ultimatelydied, and post-mortem examination revealed dilated bile-ducts, with multiple abscesses in the liver. Mertens supposition, that the worms were enabled toenter the common duct from the duodenum by reason of theducts having been dilated by the previous passage of gall-stones, seems to be the most likely explanation of theirpresence in such an unusual situation. Malignant Disease is a common cause. There is an excellent example {i,30Ja) in St. Thomass
. Applied physiology : including the effects of alcohol and narcotics . of the albumin to peptone. 5. In the intestine the bile and pancreatic juice change albumin to peptone and starch to sugar, and breakthe fat into fine particles. 6. Digested albumin and sugar soak into the blood tubes and are carried to the liver. Digested fat soaksinto the lacteals, and is emptied into the bloodstream in the neck. 7. The liver makes the albumin a part of the blood. 8. The liver changes the sugar back to a form of starch and oxidizes it, producing heat. 9. The liver also strains out poisons from the blood. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/applied-physiology-including-the-effects-of-alcohol-and-narcotics-of-the-albumin-to-peptone-5-in-the-intestine-the-bile-and-pancreatic-juice-change-albumin-to-peptone-and-starch-to-sugar-and-breakthe-fat-into-fine-particles-6-digested-albumin-and-sugar-soak-into-the-blood-tubes-and-are-carried-to-the-liver-digested-fat-soaksinto-the-lacteals-and-is-emptied-into-the-bloodstream-in-the-neck-7-the-liver-makes-the-albumin-a-part-of-the-blood-8-the-liver-changes-the-sugar-back-to-a-form-of-starch-and-oxidizes-it-producing-heat-9-the-liver-also-strains-out-poisons-from-the-blood-image370079823.htmlRM2CE2GGF–. Applied physiology : including the effects of alcohol and narcotics . of the albumin to peptone. 5. In the intestine the bile and pancreatic juice change albumin to peptone and starch to sugar, and breakthe fat into fine particles. 6. Digested albumin and sugar soak into the blood tubes and are carried to the liver. Digested fat soaksinto the lacteals, and is emptied into the bloodstream in the neck. 7. The liver makes the albumin a part of the blood. 8. The liver changes the sugar back to a form of starch and oxidizes it, producing heat. 9. The liver also strains out poisons from the blood.
. Diseases of the gall-bladder and bile-ducts, including gall-stones . classifi-cation, which appears to include all the chief varieties : I. TUMOURS OF THE GALL-BLADDER. (A) Distension of the Gall-bladder.(a) Distension with bile. (b) concretions. (c) pus (empyema). (d) mucus (hydrops) («) hydatid cysts. (B) New growths. (a) Simple. (b) Malignant. II. TUMOURS OF THE BILE-DUCTS. (A) Distension. (B) New growths. I. TUMOURS OF THE GALL-BLADDER. Distension of the Gall-bladder. A tumour of the gall-bladder through distension with bileis not common, though it is sometimes described as anaccompanime Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-classifi-cation-which-appears-to-include-all-the-chief-varieties-i-tumours-of-the-gall-bladder-a-distension-of-the-gall-bladdera-distension-with-bile-b-concretions-c-pus-empyema-d-mucus-hydrops-hydatid-cysts-b-new-growths-a-simple-b-malignant-ii-tumours-of-the-bile-ducts-a-distension-b-new-growths-i-tumours-of-the-gall-bladder-distension-of-the-gall-bladder-a-tumour-of-the-gall-bladder-through-distension-with-bileis-not-common-though-it-is-sometimes-described-as-anaccompanime-image375986870.htmlRM2CRKK2E–. Diseases of the gall-bladder and bile-ducts, including gall-stones . classifi-cation, which appears to include all the chief varieties : I. TUMOURS OF THE GALL-BLADDER. (A) Distension of the Gall-bladder.(a) Distension with bile. (b) concretions. (c) pus (empyema). (d) mucus (hydrops) («) hydatid cysts. (B) New growths. (a) Simple. (b) Malignant. II. TUMOURS OF THE BILE-DUCTS. (A) Distension. (B) New growths. I. TUMOURS OF THE GALL-BLADDER. Distension of the Gall-bladder. A tumour of the gall-bladder through distension with bileis not common, though it is sometimes described as anaccompanime
. Diseases of the gall-bladder and bile-ducts, including gall-stones . e been found dilated. Congenital Malformations.—There is apparently no part ofthe biliary apparatus, except the liver, which may not beabsent; while this is not to be wondered at in the case of thegall-bladder and cystic duct (as in specimen No. 1,390 inGuys Museum, in one specimen in St. Thomass, and in twoat Middlesex), since they are normally wanting in certainanimals, and are frequently obliterated by disease in thehuman subject; it affords serious food for thought, to findthat life has been possible for six months, whe Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-e-been-found-dilated-congenital-malformationsthere-is-apparently-no-part-ofthe-biliary-apparatus-except-the-liver-which-may-not-beabsent-while-this-is-not-to-be-wondered-at-in-the-case-of-thegall-bladder-and-cystic-duct-as-in-specimen-no-1390-inguys-museum-in-one-specimen-in-st-thomass-and-in-twoat-middlesex-since-they-are-normally-wanting-in-certainanimals-and-are-frequently-obliterated-by-disease-in-thehuman-subject-it-affords-serious-food-for-thought-to-findthat-life-has-been-possible-for-six-months-whe-image375990887.htmlRM2CRKT5Y–. Diseases of the gall-bladder and bile-ducts, including gall-stones . e been found dilated. Congenital Malformations.—There is apparently no part ofthe biliary apparatus, except the liver, which may not beabsent; while this is not to be wondered at in the case of thegall-bladder and cystic duct (as in specimen No. 1,390 inGuys Museum, in one specimen in St. Thomass, and in twoat Middlesex), since they are normally wanting in certainanimals, and are frequently obliterated by disease in thehuman subject; it affords serious food for thought, to findthat life has been possible for six months, whe
. The medical and surgical uses of electricity : including the X-ray, Finsen light, vibratory therapeutics, and high-frequency currents . Fig. 138.—The Ball Appar-atus of the Gastrograph.(Natural size.) Fig. 139.—Cross-Section of the Ball, showing interiorconstruction. (Enlarged three and a half times.)a, The two hemispheres; b, the spiked ball; c, theplatinum ball. the cardia (ructus) and pylorus (presence of larger amounts of bile in thestomach), and in chronic gastric catarrh (gastritis chronica glandularis). 3. Gastro-galvanization is almost a sovereign means for combating se-vere and most Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-medical-and-surgical-uses-of-electricity-including-the-x-ray-finsen-light-vibratory-therapeutics-and-high-frequency-currents-fig-138the-ball-appar-atus-of-the-gastrographnatural-size-fig-139cross-section-of-the-ball-showing-interiorconstruction-enlarged-three-and-a-half-timesa-the-two-hemispheres-b-the-spiked-ball-c-theplatinum-ball-the-cardia-ructus-and-pylorus-presence-of-larger-amounts-of-bile-in-thestomach-and-in-chronic-gastric-catarrh-gastritis-chronica-glandularis-3-gastro-galvanization-is-almost-a-sovereign-means-for-combating-se-vere-and-most-image375976111.htmlRM2CRK5A7–. The medical and surgical uses of electricity : including the X-ray, Finsen light, vibratory therapeutics, and high-frequency currents . Fig. 138.—The Ball Appar-atus of the Gastrograph.(Natural size.) Fig. 139.—Cross-Section of the Ball, showing interiorconstruction. (Enlarged three and a half times.)a, The two hemispheres; b, the spiked ball; c, theplatinum ball. the cardia (ructus) and pylorus (presence of larger amounts of bile in thestomach), and in chronic gastric catarrh (gastritis chronica glandularis). 3. Gastro-galvanization is almost a sovereign means for combating se-vere and most
. Diseases of the gall-bladder and bile-ducts, including gall-stones . Fig. 18.(No. 2,267, St. Bartholomews Museum.). Fig. 19.—Rupture of Gall-bladder caused by a Fall, the Abdomenstriking.a Piece of Timber. Bile was extravasated, but the patient survived five weeks before death occurredfrom peritonitis. (No. 2,268, St. Bartholomews Museum.) jo DISEASES OF THE GALL-BLADDER AND BILE-DUCTS were distinct abdominal swelling, slight discoloration overthe region of the gall-bladder, and a temperature of ioi° F. ;there was no vomiting. On the 24th there was retention ofurine, and his bowels were move Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-fig-18no-2267-st-bartholomews-museum-fig-19rupture-of-gall-bladder-caused-by-a-fall-the-abdomenstrikinga-piece-of-timber-bile-was-extravasated-but-the-patient-survived-five-weeks-before-death-occurredfrom-peritonitis-no-2268-st-bartholomews-museum-jo-diseases-of-the-gall-bladder-and-bile-ducts-were-distinct-abdominal-swelling-slight-discoloration-overthe-region-of-the-gall-bladder-and-a-temperature-of-ioi-f-there-was-no-vomiting-on-the-24th-there-was-retention-ofurine-and-his-bowels-were-move-image375987901.htmlRM2CRKMB9–. Diseases of the gall-bladder and bile-ducts, including gall-stones . Fig. 18.(No. 2,267, St. Bartholomews Museum.). Fig. 19.—Rupture of Gall-bladder caused by a Fall, the Abdomenstriking.a Piece of Timber. Bile was extravasated, but the patient survived five weeks before death occurredfrom peritonitis. (No. 2,268, St. Bartholomews Museum.) jo DISEASES OF THE GALL-BLADDER AND BILE-DUCTS were distinct abdominal swelling, slight discoloration overthe region of the gall-bladder, and a temperature of ioi° F. ;there was no vomiting. On the 24th there was retention ofurine, and his bowels were move
. Diseases of the gall-bladder and bile-ducts, including gall-stones . Fig. 1.(No. 1,390, Guys Museum. no doubt, this condition arises from contraction of an oldulcer, but in others, as in Case 55, the mucous membranebeing smooth and showing no evidence of cicatrization, thedeformity appears to be congenital. Dr. Pilcher has describeda case belonging to the latter category, and another hasrecently been published by Dr. H. C. Donald, of Paisley, inwhich the gall-bladder was found to be thickened and con-tracted, being firmly adherent to, and tucked up to, theunder surface of the liver. It was d Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-fig-1no-1390-guys-museum-no-doubt-this-condition-arises-from-contraction-of-an-oldulcer-but-in-others-as-in-case-55-the-mucous-membranebeing-smooth-and-showing-no-evidence-of-cicatrization-thedeformity-appears-to-be-congenital-dr-pilcher-has-describeda-case-belonging-to-the-latter-category-and-another-hasrecently-been-published-by-dr-h-c-donald-of-paisley-inwhich-the-gall-bladder-was-found-to-be-thickened-and-con-tracted-being-firmly-adherent-to-and-tucked-up-to-theunder-surface-of-the-liver-it-was-d-image375990453.htmlRM2CRKRJD–. Diseases of the gall-bladder and bile-ducts, including gall-stones . Fig. 1.(No. 1,390, Guys Museum. no doubt, this condition arises from contraction of an oldulcer, but in others, as in Case 55, the mucous membranebeing smooth and showing no evidence of cicatrization, thedeformity appears to be congenital. Dr. Pilcher has describeda case belonging to the latter category, and another hasrecently been published by Dr. H. C. Donald, of Paisley, inwhich the gall-bladder was found to be thickened and con-tracted, being firmly adherent to, and tucked up to, theunder surface of the liver. It was d
. Diseases of the gall-bladder and bile-ducts, including gall-stones . e for operation. When seen she was so ill that it was not considered safeto employ a general anaesthetic, especially as it was almostcertain she was now the subject of malignant disease as wellas gall-stones. The operation was done on July 20, cocaine being theonly anaesthetic used. The gall-bladder was aspirated, in-cised, and stitched to the parietes in the usual way, noattempt being made, on account of the weak condition ofthe patient, to exactly localize the obstruction. TUMOURS OF THE GALL-BLADDER AND BILE-DUCTS 147 No Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-e-for-operation-when-seen-she-was-so-ill-that-it-was-not-considered-safeto-employ-a-general-anaesthetic-especially-as-it-was-almostcertain-she-was-now-the-subject-of-malignant-disease-as-wellas-gall-stones-the-operation-was-done-on-july-20-cocaine-being-theonly-anaesthetic-used-the-gall-bladder-was-aspirated-in-cised-and-stitched-to-the-parietes-in-the-usual-way-noattempt-being-made-on-account-of-the-weak-condition-ofthe-patient-to-exactly-localize-the-obstruction-tumours-of-the-gall-bladder-and-bile-ducts-147-no-image375984886.htmlRM2CRKGFJ–. Diseases of the gall-bladder and bile-ducts, including gall-stones . e for operation. When seen she was so ill that it was not considered safeto employ a general anaesthetic, especially as it was almostcertain she was now the subject of malignant disease as wellas gall-stones. The operation was done on July 20, cocaine being theonly anaesthetic used. The gall-bladder was aspirated, in-cised, and stitched to the parietes in the usual way, noattempt being made, on account of the weak condition ofthe patient, to exactly localize the obstruction. TUMOURS OF THE GALL-BLADDER AND BILE-DUCTS 147 No
. Diseases of the gall-bladder and bile-ducts, including gall-stones . mmon bile-duct, aportion of it projecting into the duodenum. There was alarge hydatid cyst in the right lobe of the liver. It was takenfrom a boy, aged fourteen, who died from jaundice, accom-panied by pain, fever, and delirium. Three months beforedeath he was said to have hepatitis (Fig. n). No. 1,384, Guys Museum, shows a hydatid cyst openinginto the hepatic duct, a piece of hydatid membrane project-ing through the papilla into the duodenum. The ductsthroughout the liver are dilated and filled with pus. Itoccurred in a ma Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-mmon-bile-duct-aportion-of-it-projecting-into-the-duodenum-there-was-alarge-hydatid-cyst-in-the-right-lobe-of-the-liver-it-was-takenfrom-a-boy-aged-fourteen-who-died-from-jaundice-accom-panied-by-pain-fever-and-delirium-three-months-beforedeath-he-was-said-to-have-hepatitis-fig-n-no-1384-guys-museum-shows-a-hydatid-cyst-openinginto-the-hepatic-duct-a-piece-of-hydatid-membrane-project-ing-through-the-papilla-into-the-duodenum-the-ductsthroughout-the-liver-are-dilated-and-filled-with-pus-itoccurred-in-a-ma-image375988922.htmlRM2CRKNKP–. Diseases of the gall-bladder and bile-ducts, including gall-stones . mmon bile-duct, aportion of it projecting into the duodenum. There was alarge hydatid cyst in the right lobe of the liver. It was takenfrom a boy, aged fourteen, who died from jaundice, accom-panied by pain, fever, and delirium. Three months beforedeath he was said to have hepatitis (Fig. n). No. 1,384, Guys Museum, shows a hydatid cyst openinginto the hepatic duct, a piece of hydatid membrane project-ing through the papilla into the duodenum. The ductsthroughout the liver are dilated and filled with pus. Itoccurred in a ma
. Diseases of the gall-bladder and bile-ducts, including gall-stones . dule in liver; D, cystic duct. (Trans. Roy. Med. and Chir. Soc,vol. lxxix.) the gall-stone so as to get well beyond the growths, retrac-tion being prevented by two knitting-needles pushed throughthe projecting liver. The projecting portion was then cut away; it includedliver, gall-bladder, and part of the cystic duct, and weighedhalf a pound. Recovery was uninterrupted, and the tempe-rature never reached ioo°. The growth, on examination byMr. J. W. Haigh, was reported to be epithelioma. The caseis fully reported in the seve Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-dule-in-liver-d-cystic-duct-trans-roy-med-and-chir-socvol-lxxix-the-gall-stone-so-as-to-get-well-beyond-the-growths-retrac-tion-being-prevented-by-two-knitting-needles-pushed-throughthe-projecting-liver-the-projecting-portion-was-then-cut-away-it-includedliver-gall-bladder-and-part-of-the-cystic-duct-and-weighedhalf-a-pound-recovery-was-uninterrupted-and-the-tempe-rature-never-reached-ioo-the-growth-on-examination-bymr-j-w-haigh-was-reported-to-be-epithelioma-the-caseis-fully-reported-in-the-seve-image375985783.htmlRM2CRKHKK–. Diseases of the gall-bladder and bile-ducts, including gall-stones . dule in liver; D, cystic duct. (Trans. Roy. Med. and Chir. Soc,vol. lxxix.) the gall-stone so as to get well beyond the growths, retrac-tion being prevented by two knitting-needles pushed throughthe projecting liver. The projecting portion was then cut away; it includedliver, gall-bladder, and part of the cystic duct, and weighedhalf a pound. Recovery was uninterrupted, and the tempe-rature never reached ioo°. The growth, on examination byMr. J. W. Haigh, was reported to be epithelioma. The caseis fully reported in the seve
. Text-book of normal histology: including an account of the development of the tissues and of the organs. Section of liver of dog, including portion of lobule andinterlobular connective tissue (a); 6, portal vein ; c,hepatic artery; i/, bile-ducts ; e, small peripheral bile-vessel ; ^, blood-channels ; A, hepatic tissue. THE DIGESTIVE TRACT. I8l Fig. 226.. Transverse section of large bile-ductfrom human liver: a, epithelial lining;h, fibro-muscular coat; c, surroundingareolar tissue. comprise an outer fibrous adventitia and an inner mucousmembrane. The latter, in addition to the columnar epit Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/text-book-of-normal-histology-including-an-account-of-the-development-of-the-tissues-and-of-the-organs-section-of-liver-of-dog-including-portion-of-lobule-andinterlobular-connective-tissue-a-6-portal-vein-chepatic-artery-i-bile-ducts-e-small-peripheral-bile-vessel-blood-channels-a-hepatic-tissue-the-digestive-tract-i8l-fig-226-transverse-section-of-large-bile-ductfrom-human-liver-a-epithelial-liningh-fibro-muscular-coat-c-surroundingareolar-tissue-comprise-an-outer-fibrous-adventitia-and-an-inner-mucousmembrane-the-latter-in-addition-to-the-columnar-epit-image370383506.htmlRM2CEGBXA–. Text-book of normal histology: including an account of the development of the tissues and of the organs. Section of liver of dog, including portion of lobule andinterlobular connective tissue (a); 6, portal vein ; c,hepatic artery; i/, bile-ducts ; e, small peripheral bile-vessel ; ^, blood-channels ; A, hepatic tissue. THE DIGESTIVE TRACT. I8l Fig. 226.. Transverse section of large bile-ductfrom human liver: a, epithelial lining;h, fibro-muscular coat; c, surroundingareolar tissue. comprise an outer fibrous adventitia and an inner mucousmembrane. The latter, in addition to the columnar epit
. Diseases of the gall-bladder and bile-ducts, including gall-stones . Fig. 16.—Cancer of Gall-bladderulcerating into colon. (No. 2,8o9A, Royal College of SurgeonsMuseum.). Fig. 17.—Stricture ofCommon Bile-duct. (No. 2,804, Royal Collegeof Surgeons Museum.) and the only cases concerning which we can glean informa-tion have followed on cholelithiasis, or new growth. Stricture may only render itself evident after the originalcause has passed away, as in three cases of stricture of thecystic duct and one of the common duct, where the cause inthe shape of gall-stones was removed, and the stricture Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-fig-16cancer-of-gall-bladderulcerating-into-colon-no-28o9a-royal-college-of-surgeonsmuseum-fig-17stricture-ofcommon-bile-duct-no-2804-royal-collegeof-surgeons-museum-and-the-only-cases-concerning-which-we-can-glean-informa-tion-have-followed-on-cholelithiasis-or-new-growth-stricture-may-only-render-itself-evident-after-the-originalcause-has-passed-away-as-in-three-cases-of-stricture-of-thecystic-duct-and-one-of-the-common-duct-where-the-cause-inthe-shape-of-gall-stones-was-removed-and-the-stricture-image375988406.htmlRM2CRKN1A–. Diseases of the gall-bladder and bile-ducts, including gall-stones . Fig. 16.—Cancer of Gall-bladderulcerating into colon. (No. 2,8o9A, Royal College of SurgeonsMuseum.). Fig. 17.—Stricture ofCommon Bile-duct. (No. 2,804, Royal Collegeof Surgeons Museum.) and the only cases concerning which we can glean informa-tion have followed on cholelithiasis, or new growth. Stricture may only render itself evident after the originalcause has passed away, as in three cases of stricture of thecystic duct and one of the common duct, where the cause inthe shape of gall-stones was removed, and the stricture
. Text-book of normal histology: including an account of the development of the tissues and of the organs. net-work ; B.D., the inter-lobular bile-duct which takes up the bile-capillaries at the periphery of the lobule. 1^8 NORMAL HISTOLOGY. secreting hepatic tissue, comprising the liver-cells, the bile-capil-laries, the minute channels through which the bile elaborated within Fig. 219.. Section of injected human liver, the capillaries having been fil! J from the central vein (a)b, branches of portal vein. Fig. 221. the lobule is carried off, together with lymph-radicles and a very-small amoun Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/text-book-of-normal-histology-including-an-account-of-the-development-of-the-tissues-and-of-the-organs-net-work-bd-the-inter-lobular-bile-duct-which-takes-up-the-bile-capillaries-at-the-periphery-of-the-lobule-18-normal-histology-secreting-hepatic-tissue-comprising-the-liver-cells-the-bile-capil-laries-the-minute-channels-through-which-the-bile-elaborated-within-fig-219-section-of-injected-human-liver-the-capillaries-having-been-fil!-j-from-the-central-vein-ab-branches-of-portal-vein-fig-221-the-lobule-is-carried-off-together-with-lymph-radicles-and-a-very-small-amoun-image370384467.htmlRM2CEGD4K–. Text-book of normal histology: including an account of the development of the tissues and of the organs. net-work ; B.D., the inter-lobular bile-duct which takes up the bile-capillaries at the periphery of the lobule. 1^8 NORMAL HISTOLOGY. secreting hepatic tissue, comprising the liver-cells, the bile-capil-laries, the minute channels through which the bile elaborated within Fig. 219.. Section of injected human liver, the capillaries having been fil! J from the central vein (a)b, branches of portal vein. Fig. 221. the lobule is carried off, together with lymph-radicles and a very-small amoun
. Diseases of the gall-bladder and bile-ducts, including gall-stones . — LEVEL OFSEPTUM. Fig. 4.—Bifid Gall-bladder from a Sheep.(Leeds Museum.) The common bile-duct has recently received much atten-tion at the hands of several observers, and the papers byM. le Dr. Quenu in the Revue de Chirurgie for 1895, and byDr. Fenger in the American Journal of Medical Science forFebruary and March, 1896, are both of great practicalutility. The former gives a number of exact measurements,and describes a small vessel, a branch of the pancreatico-duodenal artery, as also some branches of the portal veinand Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-level-ofseptum-fig-4bifid-gall-bladder-from-a-sheepleeds-museum-the-common-bile-duct-has-recently-received-much-atten-tion-at-the-hands-of-several-observers-and-the-papers-bym-le-dr-quenu-in-the-revue-de-chirurgie-for-1895-and-bydr-fenger-in-the-american-journal-of-medical-science-forfebruary-and-march-1896-are-both-of-great-practicalutility-the-former-gives-a-number-of-exact-measurementsand-describes-a-small-vessel-a-branch-of-the-pancreatico-duodenal-artery-as-also-some-branches-of-the-portal-veinand-image375989903.htmlRM2CRKPXR–. Diseases of the gall-bladder and bile-ducts, including gall-stones . — LEVEL OFSEPTUM. Fig. 4.—Bifid Gall-bladder from a Sheep.(Leeds Museum.) The common bile-duct has recently received much atten-tion at the hands of several observers, and the papers byM. le Dr. Quenu in the Revue de Chirurgie for 1895, and byDr. Fenger in the American Journal of Medical Science forFebruary and March, 1896, are both of great practicalutility. The former gives a number of exact measurements,and describes a small vessel, a branch of the pancreatico-duodenal artery, as also some branches of the portal veinand
. Diseases of the gall-bladder and bile-ducts, including gall-stones . Aug. G.Richters work, entitled Medical and Surgical Observations,published in 1793 : Enormous Gall-stone removed after Death. — Concerningthis case Richter writes : There was a stone in the ductuscholedochus which, on account of its uncommon size, I havecaused to be engraved in the annexed figure. It weighed3 ounces 5 drachms. All round the stone was fluid bile, sothat this fluid had evidently passed by the stone into theduodenum. It fell into three pieces on being taken out.The external surface resembled a very firm extrac Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-aug-grichters-work-entitled-medical-and-surgical-observationspublished-in-1793-enormous-gall-stone-removed-after-death-concerningthis-case-richter-writes-there-was-a-stone-in-the-ductuscholedochus-which-on-account-of-its-uncommon-size-i-havecaused-to-be-engraved-in-the-annexed-figure-it-weighed3-ounces-5-drachms-all-round-the-stone-was-fluid-bile-sothat-this-fluid-had-evidently-passed-by-the-stone-into-theduodenum-it-fell-into-three-pieces-on-being-taken-outthe-external-surface-resembled-a-very-firm-extrac-image375984835.htmlRM2CRKGDR–. Diseases of the gall-bladder and bile-ducts, including gall-stones . Aug. G.Richters work, entitled Medical and Surgical Observations,published in 1793 : Enormous Gall-stone removed after Death. — Concerningthis case Richter writes : There was a stone in the ductuscholedochus which, on account of its uncommon size, I havecaused to be engraved in the annexed figure. It weighed3 ounces 5 drachms. All round the stone was fluid bile, sothat this fluid had evidently passed by the stone into theduodenum. It fell into three pieces on being taken out.The external surface resembled a very firm extrac
. Diseases of the gall-bladder and bile-ducts, including gall-stones . internally bythe peritoneum covering the spine—has been long recog-nised, but perhaps not sufficiently appreciated in gall-bladdersurgery. Mr. Rutherford Morison drew attention to it in a paper inthe British Medical Journal for March 3, 1894. It is possible to drain this pouch satisfactorily by means ofa long glass tube, but it is probably safer on the whole tomake use of a lumbar drain. The author referred to places 22 DISEASES OF THE GALL-BLADDER AND BILE-DUCTS such reliance on the ease and safety with which it can bedrai Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-the-gall-bladder-and-bile-ducts-including-gall-stones-internally-bythe-peritoneum-covering-the-spinehas-been-long-recog-nised-but-perhaps-not-sufficiently-appreciated-in-gall-bladdersurgery-mr-rutherford-morison-drew-attention-to-it-in-a-paper-inthe-british-medical-journal-for-march-3-1894-it-is-possible-to-drain-this-pouch-satisfactorily-by-means-ofa-long-glass-tube-but-it-is-probably-safer-on-the-whole-tomake-use-of-a-lumbar-drain-the-author-referred-to-places-22-diseases-of-the-gall-bladder-and-bile-ducts-such-reliance-on-the-ease-and-safety-with-which-it-can-bedrai-image375989469.htmlRM2CRKPB9–. Diseases of the gall-bladder and bile-ducts, including gall-stones . internally bythe peritoneum covering the spine—has been long recog-nised, but perhaps not sufficiently appreciated in gall-bladdersurgery. Mr. Rutherford Morison drew attention to it in a paper inthe British Medical Journal for March 3, 1894. It is possible to drain this pouch satisfactorily by means ofa long glass tube, but it is probably safer on the whole tomake use of a lumbar drain. The author referred to places 22 DISEASES OF THE GALL-BLADDER AND BILE-DUCTS such reliance on the ease and safety with which it can bedrai
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