A practical treatise on perimetritis and parametritis.

  • Duncan, J. Matthews (James Matthews), 1826-1890.
Date:
1869
Catalogue details

Licence: Public Domain Mark

Credit: A practical treatise on perimetritis and parametritis. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    scess, which is generally held, and among others by Dupuytren, Velpeau, Bernutz, and Aran, I may call attention to a case described by Dr. West, which has been the subject of unfair criticism. Sixteen weeks, says West, after her second labour, a poor woman, aged twenty-five, died of exhaustion consequent on inflammation and suppuration in the cellular tissue adjacent to the uterus ; on examination of the body after death, two abscesses were found. One, the larger in size, situated in the cellular tissue in front of the right sacro-iliac synchondrosis, and extending for some distance behind the psoas muscle; the other to the left side of, and somewhat behind, the rectum, containing a small quantity of discoloured pus, lined by a slightly rough, ash-grey membrane, bounded by walls of at least half-an-inch in thickness, reaching downwards to about two inches from the anus, up- wards to a little below where the sigmoid flexure passes over into the rectum, where the abscesses com- municated with the bowel by an opening about a third of an inch in its longest direction, which was transverse. There was no general peritonitis, nor any fluid in the peritoneum, but bands of old adhesions about half-an-inch long connected the uterus and the rectum, and retained the womb completely in the posterior part of the pelvis. There was no trace,