Uterine fibroids complicated by pregnancy / by A. Vanderveer.

  • Vander Veer, A. (Albert), 1841-1929.
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: Uterine fibroids complicated by pregnancy / by A. Vanderveer. 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.

    13/16 (page 11)
    dined it, being so firmly impressed with the belief that she was pregnant. When I saw her the ab- domen was so tense that it was almost impossible to make out a correct condition of affairs. The left side of the abdomen presented a somewhat irregular, lobulated appearance, and felt exceedingly hard in certain places. The right side gave a more distinct appearance of an ovarian cyst. The patient had a pulse of no, temperature ranging from ioo° to 102 F., and she was vomiting quite constantly; there was some trouble in getting her bowels to move, and she was decidedly sick. I expressed my opinion that while there was a possibility of her being pregnant, I be- lieved it was a case more particularly of uterine fibroid, possibly associated with ovarian cyst. Her breasts presented a negative condition as to preg- nancy, and so did the neck of the uterus and the vagina. An operation was decided upon and performed April 4, 1896. A large fibroid, multiple in char- acter, was found, the details of the operation being almost precisely as in the previous case, a well- developed fetus of four months being present. The patient made a good recovery, the only marked symptom presenting in the after-condition being a decided delirium, that came on during the fourth day and continued nearly a week, which I attributed to her very anemic condition. Since the operation she has gained over twenty pounds in flesh, and pre- sents a picture of health. These two cases but a few years ago would have been beyond the reach of surgery. Such patients ought now to receive the prompt attention of the abdominal surgeon. It is possible that in some cases the living child, at full term, may be saved. There should be no hesitancy in removing the entire uterine