'She thought it was her change of life' : reporting cases of uterine polypi, uterine cancer, inversion of the uterus, and sub-peritoneal fibroid / by A. Vander Veer.

  • Vander Veer, A. (Albert), 1841-1929.
Date:
1890
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Licence: Public Domain Mark

Credit: 'She thought it was her change of life' : reporting cases of uterine polypi, uterine cancer, inversion of the uterus, and sub-peritoneal fibroid / by A. Vander Veer. 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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    44 > 5 REPORTING CASES OF UTERINE POLYPI, UTERINE CANCER, INVERSION OF THE UTERUS, AND SUB-PERITONEAL FIBROID. By A. VANDER VEER, M. D., Albany, N. Y., Professor of Clinical, Didactic, and Abdominal Surgery in Albany Medical College ; Fellow of the American Association of Obstetricians and Gynecologists, etc. The object of this paper is to concentrate upon certain cases that occur in our consultation practice, and in the practice of the over- worked general practitioner, a closer and more positive examination for the purpose of a correct diagnosis. I will proceed at once to the report of a case that will help to illustrate what I have in mind : Miss M., aged 47, a well-to-do maiden lady, residing in a small country town, had been in good health, regular in her menstruation up to the age of 44, when she began to flow more excessively at her menstrual periods, and soon thereafter developed a condition of both menorrhagia and metrorrhagia. After this condition had lasted for a year, and when she was quite anemic, somewhat exhausted, and losing in flesh, she consulted her family physician, Dr. B., who treated her for some time with tonics, rest, and diet, with some little benefit, but not much improvement as to the excessive flowing. He suggested making a careful examination as to her condition, but this she positively refused to have done, saying that “she believed it to be only her change of life.” He treated her for another year, at the end of which time she was confined to her bed, and yet refused to have any local treatment. When she had suffered for nearly three years, and in a condition in which there was much oedema of the extremities, her lips colorless, and a profound state of anemia present, at the earnest solicitation of the members of her family she finally yielded, and the doctor was permitted to make an examination which confirmed his previous suspicion of a uterine fibroid. It presented in the form of a