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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    symptoms were due to perforation of the intra-uterine portion of the left tube, from ulcerative salpingitis]. On admission to Adelaide Ward, August 20th, there was discovered a slight lateral displacement of the uterus to the left. Lying behind and to the right of the uterus was a not very tense smooth oblong swelling, equal in size to an egg, and giving a sense of fluctuation. I was of opinion that this was a hydrosalpinx of the right tube, and that the tube had become occluded at its fimbriated extremity and bent upon itself, so that the outer distended portion lay behind the inner portion and the uterus. There was still a purulent discharge from the vagina. On the evening of September 12th, after having been examined bimanually, the patient was sick, and complained of acute pain in the right iliac region. The temperature rose to 103.40, and the pulse to 134. The patient looked ill and somewhat col- lapsed. The right iliac region was swollen and tender. It was thought that the swollen tube had probably been ruptured, and it was decided, if the symptoms did not improve, that the abdomen should be opened. Next day, however, the patient was much better, and the temperature fell to what it was before the attack. The swelling and tenderness gradually disappeared. On September 22nd, I ventured for the first time since the attack to make a vaginal examination. The result was that I found the retro-uterine swelling unaltered, or, if anything, a little fuller and more tense. On October 18th abdominal section was performed for the removal of the dilated tube, which the illness of the previous month led me to regard as a source of danger. The dilated tube was pyriform in shape, measuring three inches and three-quarters in length, two inches and a quarter in breadth at its widest, and one inch and a quarter at its narrowest part. The broadest part was at the fim-