Ovarian dermoid retained two years in pelvis after obstructing labour / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
[1908]
Catalogue details

Licence: In copyright

Credit: Ovarian dermoid retained two years in pelvis after obstructing labour / by Alban Doran. 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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    after Obstructing Labour.* By Alban Doran, F.R.C.S. On February 20th, 1904, Dr. E. F. Seager Green, of South Norwood, attended a woman, aged 29, in her third labour. Tbe descent of tbe head was obstructed by a pelvic tumour. Dr. Green succeeded in pushing the tumour out of the pelvis, and the child was born alive. The patient’s first labour (October 1899) ended spontaneously, but the second (January 1901) was lingering, and Dr. Green had reason to believe that the pelvic tumour was, as in the third labour, the cause of delay. Six weeks after confinement, the patient was troubled with attacks of sharp pain in the right iliac region, so that inflammation of the appendix was suspected. The pain subsided and the patient was sent to me in June 1904. I could, not make out any morbid con- dition above the brim of the pelvis, but I found that the pelvic cavity was occupied by a firm elastic mass which had displaced the uterus forwards. The patient declared that the pain had been confined to a point which she carefully indicated with her finger, that point being McBurney’s but no resistance could be felt there on pressure. Contrary to my advice, she declined to undergo an operation, on the ground that she felt perfectly well and free from discomfort. On February 2, 1906, the patient, then aged 31, applied to me once more. Since Easter, 1905, she had been subject to frequent attacks of abdominal pain, without distension, dysuria, or difficulty in defsecation. These pains were essentially acute, fhey almost “doubled her up,” as she observed, yet always passed away. She informed me that at the age of 21 she had one distinct attack of hsematemesis, for which she was dieted; this attack was her only illness previous to 1904, and I could not detect any evidence of * Specimen shown and described at the meeting of the Obstetrical and Gynaeco- logical section of the Royal Society of Medicine of London, November 14th, 1907.