Fibroid tumours of the uterus complicating pregnancy : a record of personal experience / by Charles J. Cullingworth.

  • Cullingworth, Charles J. (Charles James), 1841-1908.
Date:
1901
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Licence: In copyright

Credit: Fibroid tumours of the uterus complicating pregnancy : a record of personal experience / by Charles J. Cullingworth. 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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    the present be allowed to take its normal course^ the case meantime being carefully watched. My reasons were that the fibroid was. subperitonealj and that the probabilities were that the cyst^ being smallj would rise out of the pelvis so as not to obstruct delivery. I then learnt that Sir John Williams had been consulted on June 30th^ and had ex- pressed himself in favour of arresting the pregnancy^ and subsequently removing the cyst. Dr. X was himself rather disposed to agree with this advice. He consented, however, to recommend the provisional adoption of the course I suggested. On October 30th Di*. X and 1 again met and examined the patient, as he had once more come to the conclusion that interference was desirable. I still counselled against it, and Dr. X again courteously agreed to abide by my advice. On January 3rd, 1894, the patient was delivered of a living- female child quite easily by means of forceps. There was no abnormal haemorrhage. The fibroid was scarcely felt, and the swelling lower down, which the doctor who attended believed (no doubt correctly) to be in all probability another and softer fibroid, did not cause any appreciable obstruc- tion. The doctor who attended the patient in lier confinement, in a letter dated May 23rd, 1894, after giving me some par- ticulars about the labour, goes on to say that before the end of the ninth month [of pregnancy] the fibroid above the pelvis and to the right side seemed to flatten out with the enlargement of the uterus. At any rate, it did not form such a prominence as at the fourth mouth, when it felt like a large orange on the side of the womb. After delivery, when the womb contracted, it could still be felt, causing the latter to feel a double tumour, and not very much larger than an ordinary contracted post-partnm uterus. There were no abnormal symptoms after delivery for a fortnight or more, . . . when phlebitis occurred, first in one leg, then in the other, without any uterine discharge being pre- sent. She had to keep in bed for several weeks owing to this, and still has some swelling—dilatation of veins and venules. The urine does not contain albumen. I examined her a few days ago, and found above the symphysis pubis