*F. a. 154. Scrofulous disease of the bladder of a child : its
coats are so far thinned as to be almost diaphanous ; the entire
inner surface is ulcerated, and coated over with a layer of
curdy matter, which is particularly thick towards the inferior
fundus ; the vesical orifice of the right ureter is concealed by
it: the morbid deposit extends into the left ureter, and lines
it throughout.
*F. a. 155. Bladder, exhibiting the effects produced on it,
by stricture of the urethra. Its cavity is considerably reduced
in size; the muscular coat is thickened, and the mucous
membrane presents a peculiar hypertrophied condition ; it is
indurated, and forms numerous projecting ridges and processes,
which are permanent, and have no connection with the
state of distension or contraction of the organ. Both ureters
are dilated.
F. a. 170. Fungus hsematodes of the female bladder. The
organ is considerably enlarged : the inferior fundus is the
principal seat of the disease ; in this situation a large tumor,
consisting of greyish, cerebriform matter springs from the
coats and protrudes into the cavity, about one-third of which
it fills; its surface is lobulated, and in some parts ulcerated.
Beneath the mucous membrane, in different situations, there
exist patches of the same fungoid deposit: one of these is particularly
remarkable : it surrounds a large circular ulcer of
the inner coat, in the-form of a raised and tumid ring. The
urethral orifice and those of the ureters are quite concealed
by the tumor. The vagina and uterus are unaffected. No
history.—Prof. Kirby.
F. a. 171. Bladder of a boy, the cavity of which is almost
completely filled by a number of fungoid tumors, which spring
from the circumference of the urethral orifice : they are
somewhat pedunculated and firm in structure, and vary from
the size of a pea to that of a walnut. The group taken together
resembles greatly the ovarium of the domestic fowl.
In addition to those just mentioned, a second smaller group
protrudes into the prostatic part of the urethra. The bladder
is contracted and remarkably thickened. The symptoms of
this affection were like those of stone.-—Abraham Palmer,
Ksq.
F. a. 172. Fungus of the bladder. It is attached to the
orifice of the left ureter, and projects for more than an inch
into the cavity. It consists of a number of fimbria:, extremely
vascular and very loosely attached to each other.
The bladder is contracted; its muscular coat is thickened and
fasciculated; the ureters are slightly dilated, particularly the
right: the kidneys were diseased; see F. a. 1.-—A. Colles
Esq.
*F. a. 174; Bladder affected with fungus lisematodes; the
disease implicates nearly the entire organ, but it has progressed
further in the neighbourhood of the Gervix than elsewhere.
The coats in this situation are greatly thickened, and
retain but few traces of their normal structure; they present,
in the section, a softened, shreddy appearance, and their texture
is infiltrated with a semi-transparent gelatinous snbstance.
Numerous soft, fungous excrescences project on all sides into
the cavity of the organ, so as to diminish considerably its capacity;
the surface is uneven, granular and flocculent; towards
the superior fundus, the coats are slightly thinned. The prostatic
part of the urethra is dilated and ulcerated; the mucous
membrane throughout the rest of the canal is more or less
diseased. The right ureter is dilated.—Prof Harrison.
F. a. 183. Rupture of the bladder, caused by a kick on the
lower part of the abdomen. The laceration is situated on the
superior and posterior part, nearly in the mesial line. It is
about an inch and a half in length, and runs in a perpendicular
direction, slightly inclining towards the left side : the
edges present a ragged, flocculent, and ecchymosed appearance,
and are so widely separated as to give the intermediate