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.

    7/8 (page 7)
    with rounded fibroid masses throughout its substance. The contents of the cyst were intimately adherent to the walls throughout its circumference, and the fibroid bodies lay, some quite in the interior, others near the periphery, and adherent to the meshwork of the cyst. The upper tumour was solid throughout and consisted of the usual concentric layers of fibro-myomatous tissue. Both tumours appear to have been developed in the walls of the uterus. There was also a third tumour of small size in the anterior wall. The walls of the uterus were considerably hypertrophied, and both ovaries showed early cystic degeneration. Both kidneys were diseased, the capsule stripping off easily; in the cortex were seen numerous deposits tending to run together, and forming by their prolongations into the medulla conical-shaped areas of deposit, each such area being composed of individual millet-seed collections of pus. These conical areas pro- jected on the surface of the kidney, but the capsule was not in any degree adherent to them. At one part of the left kidney a triangular whitish infarct was seen near the surface j both kidneys were equally congested. The spleen was enlarged and soft, several recent infarcts were present, all close to the surface. No infarction or purulent deposits were seen in the liver, which was anaemic and fatty. Lungs were cedematous and congested. There was no trace of abrasion within the uterus, and no trace of peritonitis. It must be added that no examination of the veins was made. The desire of the writer of this paper in submitting the specimen to the Society is to gain some information as to the mode in which this patient's death was brought about. There can be little doubt that the visceral lesions found were of recent formation, and that there was a distinct commencement of the bad symptoms after the last sound- ing on September 10th, and that those symptoms may be summed up in the word blood-poisoning. If the instru- mentation (which was by no means extraordinary) is to bo