Papillo-cystoma of the ovary / by Thos. S. Cullen.

  • Cullen, Thomas Stephen, 1868-1953.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Papillo-cystoma of the ovary / by Thos. S. Cullen. 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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    [From The Johns Hopkins Hospital Bulletin, No. -13, November, 1894.1 PAPILLO-CYSTOMA OF THE OVARY. By T. S. Cullen, M. B., Assistant in Gynecology. Although papilloma of the ovary is not particularly rare, this case is published on account of the involvement of both ovaries and because the places of origin are considered as being of interest. Moreover, as will be seen, the specimen was quite perfect. Mrs. K., admitted to the service of Dr. Kelly, 2, 14, 1894. Mt. 41, married. The patient complained of abdominal enlargement accom- panied by loss of flesh and strength. She has been married 22 years and had one normal labor 20 years ago. Her only pre- vious illness was typhoid fever, 10 years ago. Present Illness.—In February, 1893, she began to feel languid, and was with difficulty able to continue her house- work. In July she noticed a slight burning sensation in the right hypogastrium, not affected by exercise nor influenced by menstruation. Her body weight began to decrease. About September the abdomen commenced to enlarge and continued to increase in size. The weakness and emaciation also were progressive. In November she vomited a greenish fluid. Defecation was accompanied by some pain in the pelvis. Since that time there has been little change. Menstruation commenced in her eleventh year, was regular, moderate in amount and somewhat painful. In November, the menses suddenly ceased and have not recurred. Physical Examination.—The patient is fairly well nourished. Her mucous membranes are somewhat anaemic. Heart and lungs apparently normal. Liver dulness not increased. The abdomen is enormously and symmetrically distended. The greatest prominence is below the umbilicus. The line® albi- cantes in the lower abdominal zone are very prominent. The superficial veins are distended.