Some cases of abdominal cysts following injury / by Rickman John Godlee.

  • Rickman Godlee
Date:
[1887]
Catalogue details

Licence: Public Domain Mark

Credit: Some cases of abdominal cysts following injury / by Rickman John Godlee. 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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    Reprinted from Vol. XX of the « Clinical Society's Transactions.'] Some Cases of Abdominal Cysts folloiving injury. By Hickman John G-odlee, M.S. Bead May 13, 1887. IPROPOSE in the following paper to call the attention of the Society to three cases in each of which a large cystic tumour was developed as the result of the passage of a cart- wheel over the abdomen. As that which occurred last in point of time is the only one in which the diagnosis is quite clear I will proceed at once to describe it, and will begin by saying that it is a case of ruptured ureter. A little girl (M. A. E., No. in hospital register 1422), four years of age, was admitted into University College Hospital on July 21, 1886, having been run over by a cab on the previous day. She then complained of pain and tenderness in the abdomen, principally in the left inguinal and lumbar regions; here there was considerable bruising, and there was also bruising about the left elbow. The temperature was about 100° F. and the pulse 122. She had been examined by a medical man at another hospital before admission, and nothing except the symptoms mentioned above had been detected, and nothing further appears to have been noted for the first few days. In fact for the first fortnight, at the end of which time I first saw her, she remained much in the same condition. The bruising of the abdomen, however, disappeared, but increasing tension of the region previously bruised declared itself, and a little dulnesa was detected at the lower part of the chest on the left side. There was occasional but very slight vomiting and a dry cough, apparently the remains of an attack of whooping-cough; the temperature, which occasionally rose to 101° and over, sometimes sank to normal, and on the whole had a downward tendency. The urine, I regret to say, was not then examined, but nothing was ever noted amiss with it, and when it was examined on August 14, 15, and 16, it was acid, sp. gr. 1026— 1028, and to the naked eye and under the microscope normal. The indefinite swelling gradually gave place to a large well-defined elastic and fluctuating tumour which by August 12 extended inwards to within half an inch of the middle line, downwards to the umbilicus and the anterior superior spine of the ilium, backwards to the erector spinas and upwards under