Illustrations of some modes of death after ovariotomy / by John D. Malcolm.

  • Malcolm, John David.
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Illustrations of some modes of death after ovariotomy / by John D. Malcolm. 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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    size of a walnut, the other much smaller, being a dermoid cyst. The rest of the body was healthy, but very anaemic. I do not know how the condition which existed in this case is to be diagnosed. The use of an aspirating needle would certainly not have revealed the solid nature of the tumour. The extreme rapidity of growth and the corresponding debility were marked features of the case, but could scarcely be called pathognomonic. Of course if a correct diagnosis had been made, no operation would have been performed, but the physical signs exactly simulated those of an adherent cyst. The fourth case was that of a woman thirty-three years of age, who consulted Mr. Thornton in 1886, on account of a fibroma of the uterus reaching nearly as high as the umbilicus. An operation was not then considered necessary, and the patient was fairly comfortable till March, 1893, when she again sought advice because the tumour was rapidly increasing in size, and Mr. Thornton sent her into the Samaritan Free Hospital under my care. She had a large tumour extending into and expanding the cervix uteri, which was low in the pelvis. The growth reached four inches above the umbilicus, and fluctuation was distinct in the upper part, but just above the pubes and in the left groin the tumour seemed solid, and was very tender. The other organs of the body were all healthy, but anaemia was extreme. An ovarian tumour complicating the fibroma was diagnosed by Mr. Thornton. I opened the abdomen on May 1st, 1893. The cystic and solid parts of the tumour formed one mass, the cyst being a tumour of the right ovary, inseparable from a uterine fibroid tumour over a large extent of their contiguous sur- faces. The sigmoid flexure and cascum were raised high up on the back of the enlarged womb, and on the left side there was another ovarian cystoma, the size of a small cocoa-nut. After a little enucleation on the right side both broad ligaments were tied and divided below the ovarian tumours. I then made an incision through the
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