Chest complications in abdominal disease : a study in diagnosis : the first Hunterian lecture of the Hunterian Society session 1901-2 / by J. Mitchell Bruce, M.A., L.L.D., M.D., F.R.C.P.

  • Bruce, J. Mitchell (John Mitchell), 1846-1929
Date:
1902
Catalogue details

Licence: In copyright

Credit: Chest complications in abdominal disease : a study in diagnosis : the first Hunterian lecture of the Hunterian Society session 1901-2 / by J. Mitchell Bruce, M.A., L.L.D., M.D., F.R.C.P. Source: Wellcome Collection.

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    plicating uterine fibroids lias come under my notice. The disease arose in the ampulla of the tube, sealed the ostium, and crept along the tubal lumen towards the uterus (Fig. 5). The growth could be traced through the uterus, but confined to the tubal tissues, and we were able to satisfy ourselves by a careful microscopical examination that it had not infected the uterine tissues. Fig. 5.—A Fallopian tube with the ovary, mesosalpinx, and adjacent portion of the wall of the uterus. The ostium of the tube is closed and the ampulla distended with a soft cancerous mass, which has extended along the lumen of the tube and can be traced in the tubal tissues in its course through the uterine wall. The endometrium was not im¬ plicated. The uterus contained several large fibroids. The chief symptom was profuse bleeding, which led the patient to submit to operation. The appearance of the tube when extracted from the pelvis was like that of a parsnip with a long thin root; its crimped appearance in the drawing is due to the distortion produced by the preservative solution, in which it was placed immediately after operation. I am unaware of any records relating to the combina-