It is inadvisable to explore for a suspected abscess with a hollow needle without first opening the abdomen, as septic fluid might thus be enabled to leak out, and infect the general peritoneal cavity.
- Healing abscess showing a wall of young cellular and vascular granulation tissue, which separates the pus area (top of Fig.) from the muscle fibres seen at lower part of Fig.
The presence of concretions in the gall-bladder may not only lead to the formation of abscess but also to invasion of the gall-bladder by cancer.
His last days were marked by a fine serenity and calm; he died in his own house in Philadelphia on the 17th of April 1790, the immediate cause being an abscess in the lungs.
The cyst should be treated like a liver-abscess, by incision through the abdominal or thoracic wall, by circumferential suturing and by exploration and drainage.
In other cases gall-stones set up irritation in the gall-bladder which runs on to inflammation, and the gall-bladder being infected by septic germs from the intestine (bacilli coli) an abscess forms.
If the abscess is allowed to take its course, adhesions may form around it and it may burst into the intestine or on to the surface of the abdomen, a biliary fistula remaining.
If the white cells be required, as in local suppurating abscess, general septicaemia, acute pneumonia, &c., there is an active proliferation of the myelocytes to form the polymorpho-nuclear leucocytes, so that we have in this condition a leucoblastic transformation of the fatty marrow.
Then they develop .definite fibrils which differentiate into fibrous laminae forming a zone which shuts off the abscess from the healthy tissue and so prevents the further invasion and injurious effects of the microorganism.
He shows no inconsiderable knowledge of anatomy in his remarkable description of inflammation and abscess of the mediastinum in his own person, and its diagnosis from common pleuritis as well as from abscess and dropsy of the pericardium.
Sometimes the abscess declares itself by a bulging at the surface, but if not an incision should be made through the belly-wall over the most tender spot, and a direct examination of the surface of the liver made.
A bulging having been found, that part of the liver which apparently overlies the abscess should be stitched up to the sides of the opening made in belly-wall, and should then be explored by a hollow needle.
If an hepatic abscess is injudiciously left to itself it may eventually discharge into the chest, lungs or belly, or it may establish a communication with a piece of intestine.
The drug should regularly be given hypodermically, and it is important to note that if the injection be made immediately under the skin, an abscess, or considerable discomfort, may ensue.
It is no "fugitive and cloistered virtue" that Aurelius seeks to encourage; on the contrary, man must lead the "life of the social animal," must "live as on a mountain"; and "he is an abscess on the universe who withdraws and separates himself from the reason of our common nature through being displeased with the things which happen."
At a meeting of the statesgeneral held at Orleans in the December following, the prince of Conde, after being arrested, was condemned to death, and extreme measures were being enacted against the Huguenots; but the deliberations of the Assembly were broken off, and the prince was saved from execution, by the king's somewhat sudden death, on the 5th of the month, from an abscess in the ear.
The only safe way for an abscess to evacuate itself is on to the surface of the body.
Abscess in the gall-bladder being suspected, an incision should be made down to it, and, its covering having been stitched to the abdominal wall, the gall-bladder should be opened and drained.
But the necessity of the connexion is also apparent, unless we are to suppose that, as regards the course of universal nature, man is altogether an imperium in imperio, or rather (to adopt the forcible phrase of Marcus Aurelius) an abscess or excrescence on the nature of things.
Similarly, the dead fronds fall off,leaving a ragged petiole, which is afterwards separated from the stem by an abscess-layer a short distance above the base.
One of the severest complications of the disease is abscess of the liver, usually said to be solitary, and known as tropical abscess of the liver, but probably is more frequently multiple than is usually thought.
If the abscess be deeply situated in some tissue and not able to open on to a free surface so allowing the contents to be drained off, the phagocytic cells play a very prominent part in the resolution of the abscess.