Ovariotomy : removal of an encysted tumour of the left uterine appendages / by George Southam.

  • Southam, George, 1815-1876.
Date:
1845
Catalogue details

Licence: Public Domain Mark

Credit: Ovariotomy : removal of an encysted tumour of the left uterine appendages / by George Southam. 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.

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    ly in June, Mrs. S., aged 38, called upon me and stated that is suffering from an ovarian tumour, which having resisted a j of remedial means, she was extremely desirous of having ated. The following is a brief sketch of her history : has been married twenty years, never had any family, and within the last few years has generally enjoyed good health, oticed an increase in the size of her abdomen eight years ago, ; it was not attended with any derangement in her health, or larity in the menstrual function, it was attributed to corpu- . Some time having elapsed, and there being evident deteno- in her condition, medical aid was requested. Since then she •een under the care of several experienced practitioners and rous remedies have been resorted to, all of which, with the tion perhaps of retarding the progress of the disease, have d ineffectual. During the last twelve months the tumour has red such a size as to interfere with respiration, especially when e recumbent posture, and she has occasionally suffered from in the left inguinal region. Tapping lias ^been frequently re- lended to relieve these symptoms, but she has hitherto refused cede to it. No apparent reason can be given for the disease ,s it originated from a blow on the abdomen w en a ou . of age f nor is she aware that the tumour began in either side having noticed it until a uniform swelling above the pubes King the abdomen I found it nearly globular and linent, distended to at least twice the size of a female at the full of pregnancy, and elevating the cartilages . i ideraL extent; the parietes were perfectly smooth and natural dour; fluctuation, though of a resisting m , w 1Y very part, and percussion elicited a dul sou . u?erus 'i°n. Produced scarcely ^y alterah™ m i £ f ^ size’ rS&S l3SK*rpKthan usual ; the ™,.ite thy, and on the abdomen being raise a1} intact with it itant, whilst the finger was placed m imme i inclination uterus might be distinctly felt to rise and fa ™thai ‘nc^101 ' left side. In the erect position it could not be * Reprinted from the Provincial Medical and Surgical Journal.