Cases of polypus of the womb : with remarks / by Walter Channing.

  • Channing, Walter, 1786-1876.
Date:
[1855]
Catalogue details

Licence: Public Domain Mark

Credit: Cases of polypus of the womb : with remarks / by Walter Channing. Source: Wellcome Collection.

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    mould, the space between the tumor and the womb, in which it is cast. It is of a dark color when thrown off under these circum¬ stances. Sometimes the coagula are broken, shreddy, but showing firmness. There are pains characteristic of polypus. Especially is that forcing, bearing-down pain which accompanies menstrua¬ tion. This may be unlike dysmenorrhoea, and the quantity and characters of the discharge are altogether different from that which characterizes painful menstruation. Two forms under which polypus may exist were spoken of. And, first, of the concealed. Under this head I include cases in which the tumor is contained, and retained in the uterine cavity. In these the loss is often very great, and accompanied by uterine force not exceeded by the demands of labor at the full time, even when these are more than of average strength or necessity. Of this the following is an example. Case I.—Mrs.-, between 30 and 40. Has had but one child, a daughter, now between 11 and 12 years old. Is very fleshy, and of sufficient color of complexion. Was some months ago attack¬ ed with uterine hemorrhage during menstruation, for which there was no assignable cause. This recurred again and again, and at length uterine contractions came on, which were most distressing by their strength and continuance. Her physician examined her in the intervals of periods, but detected nothing unusual in the cervix or os uteri. No permanent relief was obtained by medi¬ cines. At length he examined during a period or just at its close, and found the os uteri open, and just within it a firm and insen¬ sible mass. He believed this was a polypus, and wrote for my advice. I recommended ergot of rye to be given during menstrua¬ tion ; and if the tumor protruded, and he should desire my ser¬ vices, I would with pleasure come and see the case with him. He gave ergot as suggested. Uterine force responded, and he found the tumor fairly protruding into the vagina. Upon reaching the address I discovered a cylindrical tumor lying nearly horizontally across the pelvis. It was large and firm. Its outward extremity