Pregnancy after removal of both ovaries for cystic tumour / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
1902
Catalogue details

Licence: In copyright

Credit: Pregnancy after removal of both ovaries for cystic tumour / by Alban Doran. 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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    Removal of both Ovaries and Tubes,” ‘ Boston Med. and Surg. Journ./ vol. cxliv, 1901, p. 86. Another oophorec- tomy for inflamed ovaries. In July, 1898, “ the ovaries and tubes wei’e tied off with silk quite close to .the uterus and removed.” The right ovary contained a cyst as large as a hen’s egg, and the left a hasmatoma nearly as large as the cyst. Menstruation returned ; then the patient became preguant, and was delivered of a live child on .September 12th, 1899. The child died within three weeks and menstruation returned. J. E. Eng el, mann (M. M. Morris, loc. eit.).—“ Pregnancy followed a double ovariotomy in which the right tube was left intact. A microscopic examination made of the speci- men later showed that some ovarian tissue had been left.” This statement explains the pregnancy. I regret that I have not been able to obtain a copy of the original I'eport in the ‘ Transactions of the Southern Surgical and Gyne- cological Association/ September, 1899. It would be interesting to ascertain whether the pedicle on each side was long, consecpiently bearing an elongated ovarian ligament, or whether the cyst on one side burrowed in the broad ligament and came in close contact with the uterus, as in my case. M. M. Morris mentions in his paper a case of “ Preg- nancy after Ovariotomy ” reported by C. F. Harding (‘Lancet/ vol. i, 1880, p. 193). But on referring to the original report under the “ Notes, short comments,” etc., in that journal I find that it was a case of the removal of one large tumour by Walter, of Peterborough, followed by pregnancy directly after convalescence, and labour at term. Morris’s quotation is therefore somewhat mislead- ing, as iAt is placed between notes of Robertson’s and Palmer Dudley’s cases. “ C. F. Harding reports a preg- nancy after ovariotomy : ” nothing more is said, so that the reader might naturally conclude that the ovariotomy r