Clinical papers / by J. Halliday Croom.

  • Croom J. Halliday (John Halliday), Sir, 1847-1923.
Date:
1901
Catalogue details

Licence: In copyright

Credit: Clinical papers / by J. Halliday Croom. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    One caiiiKjt but tliiiik that the only possible explanation is, that the small pedicle had l)een unconsciously tom during removal; if that were so, no trace of it could l)e found, and tiiere was no luemorrliage. h'ASE d ])resented some remarkable features. Tlie patient, a married woman, was sent to me as sul'lering from acute peri- tonitis. After the severity of tlie inllamniation had somewhat s\d)sided, slie was found to have a small dull area between the symphysis and tlie uml»ilicus, and a cystic tumour, jiroliahly with a twisted pedicle, was diagnosed. On ojieuing the abdomen, the usual dark ai)pearance of an ovarian tumour, into which blood had been extravasated, was observed. The tumour was adherent to the anterior wall, and, on l)eing separated and removed entire, it was found tliat the pedicle was not only twisted and very small, hut had given way (see Fig. 3) close to the neoiikism. Evidently this sejiaration had taken })lace some time ])revious to operation, because tlie pedicle was dry and firm, and there was no indication of luemorrliage. The jielvic end of the pedicle was not secured, for the very good reason that it could not he found. Case 4 I record simply as a curiosity, because 1 am not at all sure of its nature. The facts are these:—E. M. was sent to the Hospital by ])r. Lindsay of Lalfron, and the case seemed a simjile parovarian tumour, which extended u]»wards to 1 in. above the umhilicus. After opening the abdomen, and e.xposing and tapping the tumour, which was jiale in colour, one slight adhesion to the abdominal wall was secured with catgut, and thereafter the tumour was siniph' pulled out of the abdomen by my assistant, tliere being no further adhesion and no apparent attachment to any pelvic or abdominal organ. J he fluid was absolutely clear, like water, and the tumour was not ovarian, because the ovaries