Basilysis for dystocia from hypertrophic elongation of the cervix uteri / by Alexander Russell Simpson.

  • Simpson A. R. (Alexander Russell), 1835-1916.
Date:
1883
Catalogue details

Licence: Public Domain Mark

Credit: Basilysis for dystocia from hypertrophic elongation of the cervix uteri / by Alexander Russell Simpson. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    Case. A. R., ii.-para, age 28, last residiug at South Leith Poor- house, was admitted in labour on 21st December 1882. Her last menstruation took place at the beginning of March; quickening was first felt in end of June, and, according to her own account, she probably conceived on the 13th or 14th of March. Condition during Pregnancy.—Morning sickness was absent. She has had leucorrhoea for a number of years, but did not notice any change in the amount of the discharge, nor did she suffer any pain before April, when pain in the back began to trouble her, and then for the first time she noticed something come down on mak- ing water and while at stool; it receded, however, on lying down. The discharge shortly after became yellow and with an offensive sraell. In June difficulty of walking was experienced, and the pain in the back and hips had increased so much that towards the end of the month she found it necessary to take to bed. She was then admitted to South Leith Poorhouse, and remained there until labour started. During all this time, from the middle of July to December 20th, she Avas Avholly confined to bed, with the excep- tion of about half an hour in the morning. In bed there was no pain present, but it became very severe on rising, the pain being situated in the lower part of the abdomen, back, and hips. A strong sense of weariness was always present, and she also describes a feeling of heaviness, and seeras to have slept a good deal. The tumour appeared externally in July, and gradually grew larger. In August a red discharge came on, and returned every now and then, lasting from one to two days. During this month an attack of shivering developed itself, and lasted more or less for about six days, the rigors evidently being severe, as she describes them as shaking the bed; each rigor was followed by a feverish attack. After August the rigors and fever came on about every fortnight, but they were never so severe as at the first. She experienced great difficulty in micturition for a few months before labour. She could not walk over a few yards, from the pain and weight, and while doing so had to support the tumour with her hand. Previovs Obstetric History.—Patient was married in October 1877, and had a miscarriage in the beginning of January. On 21st September 1879 she gave birth to a female child in the Maternity Hospital. Her labour was natural. The child, which weighed 3 lbs. 11 oz., died three days after, being premature and very feeble from the first. During her puerperium some mental aber- ration showed itself in mutterins; to herself and taking no notice of anything; she had to be watched, and was screened off from the rest of the patients. Her convalescence was slow, and on dismissal on the nineteenth day she was rather weak. The uterus was re- tro verted. Labour.—Patient was admitted on 21st December at lialf-past