460 MORBID ANATOMY.
stomach ; a narrow strip of healthy tissue extending partly across the diseased portion. 1861.
2219. Thibert's model. Disease of the pylorus, and appar- ently encephaloid. Numerous enlarged, mesenteric glands are similarly diseased ; and great numbers of lymphatics between them and the small intestine are enlarged and filled with a puriform fluid. 1849. Dr. J. Ware.
2220. . A very large encephaloid growth around the car- diac orifice of the stomach. 1849. Dr. J. Ware.
2221. Very extensive encephaloid disease of the cardiac orifice,
and extending to the oesophagus. The diseased mass is thick, soft, and in a state of open ulceration. The oesoph- agus is somewhat dilated, but not particularly thickened ; and the stomach is contracted, rugous, and marnmillated. 1847. Dr. J. C. Warren.
2222. Encephaloid disease, extending 2J or 3 in. from the
cardiac orifice, and quite limited. The diseased surface is ulcerated, firm to the feel, and was, in the recent state, of a yellowish color. The edges are raised, somewhat rounded and vascular, and softer than the rest. CEsophagus per- fectly healthy, and neither dilated nor thickened. The other organs, also, were quite healthy.
From a woman, set. fifty-three, who died in Feb. 1861, and had had dyspepsia from her girlhood. In August, 1859, there was much distress in the stomach and oesopha- gus ; in the spring of 1860, nausea and vomiting, and in July the vomiting after food was constant. In December, when Dr. F. first saw her, there was a peculiar sense of distress on first taking food, and which was generally re- lieved by its rejection. The case was regarded as one of stricture of the cesophagus, from the fact that she persist- ently felt and said that the food stopped at an exact spot, about half way down the oesophagus. She was then tak- ing liquids and pap nearly all the time, and vomiting nine- tenths of it within ten minutes. Instruments, however, were passed without resistance. During the last two months her appetite was keen, and she took lai-ge quanti- ties of food, which she constantly rejected, and without discomfort. Five days before death she raised a pint of
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