Clinical reports of ovarian and uterine diseases

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J. Churchill, 1853 - 340 pages
 

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Page 125 - January, she was suddenly seized with violent pain in the lower part of the abdomen, and a sensation as if something had suddenly given way there, and she was still in great pain.
Page 18 - ... particles contained in cellular membrane. Around the outer surface of the corpus luteum, and completely investing it, there is a white layer varying in thickness, the outer part of which loses itself in the substance of the ovarium, of which it appears to form a part, and to be similar in structure, having the mouths of divided vessels distinctly perceptible, as in other parts of the substance of the ovarium. The inner portion of this white layer, which appears to be condensed stroma, is separable...
Page 8 - After having been in the hospital about two months, she suddenly complained of the most acute pain over the abdomen, and, in a few hours, expired. " On opening the abdomen, death appeared to have been produced by the effusion of a large quantity of pus into the peritoneal cavity, which escaped from an abscess in the right ovarium, which abscess appeared to arise from suppuration in the substance of the viscus, similar in every respect to phlegmonous abscess in any part of the body, and not connected...
Page 137 - ... an appearance of superficial excoriations or granulations, which are elevated above the surrounding surface. These apparent granulations are usually considered and treated as ulcers of the os and cervix uteri, but they do not present the appearances which ulcers present on the surface of the body, or in the mucous membranes lining the viscera, and they are not identical with the granulations which fill up healthy ulcers. They present the appearances often observed on the tonsils, and which are...
Page 135 - ... groundless. I am fully satisfied that the speculum does not enable us to decide earlier than the finger, that cancer has commenced ; and if it did so, as some maintain, and enable us to make applications to the os uteri, which could not be made without, not the slightest advantage would be gained in practice. When cancer of the uterus has advanced to ulceration, the speculum is not only useless, but positively injurious, and ought not to be used. In the year 1827, when I first became acquainted...
Page 159 - Thus Robert Lee and Dubois have each related cases where the vomiting ceased immediately upon the discharge of the liquor amnii. In one case of Lee's the puncture of the membranes was not followed by any perceptible discharge of water ; nevertheless, the vomiting " began immediately to subside, and she went to the full period, and was safely delivered of a living child
Page 312 - A pouch seemed to have been formed by the anterior wall of the rectum and posterior wall of the vagina, and much of the inconvenience from which she was then suffering arose from this cause.
Page 181 - She continued to suffer during the whole of the day, and died in the evening. The body was examined the following day. The uterus was contracted, but its mouth was dragged down as low as the external orifice by a tumour, which grew from it by a broad base. It was attached to the posterior part of the mouth of the womb, and some way up the neck was of a livid colour, and weighed three pounds fifteen ounces. The patient had borne her last child before easily and naturally, but some time before her...
Page 6 - Both ovaria were remarkably large, and both fallopian tubes were red and turgid. The peritoneal coat of the left ovarium was perforated at that extremity which was nearest to the uterus by a circular opening, around which aperture for several lines the surface of the ovarium was elevated and of a bright scarlet colour, like extravasated injection.
Page 193 - When large, the tumour is often unequal on its surface, being lobulated or divided by deep fissures ; and arteries and veins of considerable magnitude can be traced into its substance. Cavities containing a bloody or dark-coloured gelatinous fluid are sometimes formed in the central part of the tumour, probably by a process of softening which its substance undergoes.

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