Fibro-cystic myoma of uterus : septicæmia / by H.A. Lediard.

  • Lediard, Henry Ambrose.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Fibro-cystic myoma of uterus : septicæmia / by H.A. Lediard. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    On September 3rd she was examined, and the sound used both in the uterus and the bladder• it was clear that the tumour was larger than on admission; no bad symptoms followed. On September 10th she was again examined in con- sultation with a view to determine on operative procedure ; the sound was introduced into the uterus, and the bladder examined as before. On the following day she was restles, hot, and sick. On the 12th the tongue was brown and dry, and vomiting was present. On the 13th delirium came on, and from the swollen and tender condition of the abdomen it seemed that peritonitis had supervened. The patient died on the ninth day after the last sound- ing. It may be added that at the digital examination made at the same time the finger had a faint smell as if from decomposition of retained discharge, and, in addition to other remedies, the uterus was washed out with an antiseptic as soon as the unfavorable symptoms ap- peared. Post-mortem.—This was made five hours after death. The body was anaemic and waxy in colour and appearance; post-mortem rigidity marked ; subcutaneous fat fairly well represented. On opening the abdomen the uterus was seen to extend upwards as a whitened oval tumour to within an inch of the navel, being perfectly smooth on the surface and free from adhesion to any organ. The bladder (which is attached to the specimen) seemed perfectly healthy and free from abrasion of any kind, and was of normal size. The uterus, resembling with fair accuracy a duck set for table, was opened by a median incision along its anterior surface. The cavity was occupied with a well-formed healthy coagulum free from odour, the size and shape of a moderate herring, this shape depending upon the shape of the cavity of the uterus as modified by the growths present. Two rounded masses were seen attached to the posterior and left sides of the uterus, but chiefly to the posterior wall; on opening the lower of these it was seen to consist of fibro-gelatinous material,