Abstract: Watercolour medical illustration depicting encephaloid tumour in the bladder. It has the alternative reference numbers 1222, 69 and P6A on the front. The Richmond Hospital Museum reference is A.b.8. The entry for this in P263/1 pg. 6 reads 'Encephaloid tumour in the bladder'. The typed note on the back reads 'Encephaloid disease of the bladder. Mr Robert W. Smith presented a remarkable specimen of a malignant tumour of the bladder, removed from the body of a man forty years of age, who was admitted into the hospital of the north Union Workhouse, under the care of Dr M'Clelland, labouring under the symptoms of retention of urine. At the time of his admission he stated that he had not passed any urine for two or three days, and that he had been for a long time past suffering from the general symptoms of urinary disease, the exact nature of which, however, it was impossible to determine, the being in a dying state, and unable to give any clear account of his case. He suffered agonizing pain in the region of the bladder, but no distinct tumour could be felt above the pubes. An Instrument was passed into the bladder; merely a small quantity of blood, however, flowed through it: the introduction of the instrument caused intense pain. The man died shortly after his admission. Autopsy. Upon laying open the bladder a large encephaloid tumour was found filling the greater part of its cavity; it had obstructed the orifice of the urethra, and obliterated the openings if the ureters; the bladder contained also a large coagulum of blood; its mucous membrane was highly vascular, and several small encephaloid tumours existed in the submucous tissue; the ureters, from the bladder to the kidneys, were greatly dilated and distended with urine. The lymphatic glands along the course of the iliac vessels upon either side were converted into an encephaloid tissue. The prostate gland was healthy; the kidneys congested and slightly enlarged. Museum, Richmond Hospital'.
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