The etiological importance of gonorrhoea in relation to some of the more common diseases of women.

  • Cullingworth, Charles J. (Charles James), 1841-1908.
Date:
[1889]
Catalogue details

Licence: Public Domain Mark

Credit: The etiological importance of gonorrhoea in relation to some of the more common diseases of women. 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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    CASE i. Gonorrhoea contracted immediately after Mar- riage: Salpingitis, Pelvic Peritonitis, and Cellulitis.—M. B., aged 19, admitted into St. Thomas’s Hospital, under my care, October 15th, 1888, was a strong healthy girl, never having had a day’s illness until her marriage, three months previously. About a fortnight after her marriage she be- gan to suffer from a thick yellow vaginal discharge, followed by painful micturition. On ten different occasions, during the past three months, there had been a discharge of blood from the vagina, lasting three or four days at a time. The patient complained of pain in the right hip, shooting in- wards to the vulva, and downwards to the calf of the leg. On examination no signs of inflammation were found about the vulva beyond a little redness around the orifices of the gland ducts of Bartholini. The vaginal mucous membrane was natural in appearance. A purulent dis- charge was seen to be issuing from the os uteri, surrounding which there was a narrow zone of catarrhal erosion. Bi- manually there was a hard swelling to be felt, occupying the region of the left broad ligament, depressing the vaginal roof on that side, and pushing the uterus towards the right of the middle line. The mobility of the uterus was im- paired. Twelve days later the uterus was more fixed, and the swelling had extended to the front of the uterus. There had been a good deal of pain during the last few days in the left iliac region. The temperature was generally under ioo°; it rose, however, on two occasions a few hours after examination. On October 31st the anterior swelling had extended downwards along the upper part of the anterior vaginal wall, which bulged considerably, pushing the cervix backwards and upwards as well as to the right. On November 3rd there was felt, for the first time, thickening on the right side. Four days later the swelling in front