A case of associated streptococcus infection of the vermiform appendix and Fallopian tube / by Hunter Robb.

  • Robb, Hunter, 1863-1940.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: A case of associated streptococcus infection of the vermiform appendix and Fallopian tube / by Hunter Robb. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    3/8 (page 3)
    Macroscopical examination of specimens removed.'—They consisted of the Fallopian tubes and ovaries of both sides and a portion of the vermiform appendix. Right side—Fallopian tube 10X.7x1.2 cm. Fimbriated end of the tube free; a few adhesions on the superior surface of the tube. 2.5 cm. from the fimbriated extremity there is a projection 5 mm. in diameter and 5 mm. high; this is prob- ably a beginning supernumerary ostium. The tribe is soft, red and swollen. Ovary—5.5 X 3x1.5 cm. Few adhesions. The surface of the ovary is studded with many dropsical follicles, one at its lat- eral end being 2 cm. in diameter. Left side—Tube 7X.3X2 cm. The fimbriated extremity is reddened and open. There are many dense adhesions; tube torn open during operation. Ovary—4 X 2.5x1 cm. Attached to it are many adhesions. Ovary torn at pedicle. Vermiform appendix. The appendix is represented by a mass of tissue 9 cm. long and 7 mm. in diameter, with a cen- tral lumen. It is covered by tolerably dense adhesions. A segment of a tape-worm 15 X14 mm. was forced out of the cut end on pressure. The free extremity of the appendix is covered with flakes of lymph. Analysis of temperature chart.—For six days previous to the operation the temperature was 99° F. by the mouth (100.3° F. by the rectum). On the evening of the day of the operation it rose to 101.7° F. by the rectum, 100.2° F. by the mouth. On the -second day it decreased to 100.8° F. by the rectum and 100.3° F. by the mouth. From this time it grad- ually but progressively rose to 105° F. by the rectum on the third day at 6 P. M. Pulse at this time was 130. At 8 P. M. on the same day the temperature registered 105.4° F. by the rectum. On the fourth day at 2 A. M. it registered by the axilla 105.8° F., aud at 8 P. M. the axillary temperature was 103° F., the rectal 103.9° F. At midnight of the fourth day it was 104.4° F. by the axilla and 102.4° F. by the rectum. It then fluctuated between 103° F. and 104° F. by the axilla. The axilla temperatures that are recorded were registered after the thermometer had been in the axilla.for twenty minutes. The pulse varied from 120 to 140, most of the time being 1 The description of the specimens was made by Dr. J. Whitridge Williams.