General and differential diagnosis of ovarian tumors : with special reference to the operation of ovariotomy and occasional pathological and therapeutical considerations / by Washington L. Atlee.

  • Atlee, Washington L., 1808-1878.
Date:
1873
Catalogue details

Licence: Public Domain Mark

Credit: General and differential diagnosis of ovarian tumors : with special reference to the operation of ovariotomy and occasional pathological and therapeutical considerations / by Washington L. Atlee. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    operated on Mrs. J. C, of Baltimore, in the presence of Drs. Monkur, Morris, Bull, all of Baltimore, and Drysdale, Cox, Jackson, andFleming, of Philadelphia, removingbothovaries. She was thirty-five years old, had first menstruated at the age of twelve years, was married at the age of eighteen, and had six children, the youngest being four years old. After the birth of the last child, her abdomen remained large, and continued to increase until the 17th of March, 1852, when the enlargement suddenly disappeared, followed by great soreness of the abdomen. ]STo doubt the cyst had ruptured, and produced peritonitis. Eight weeks after the swelling began to return, and continued increasing, until she pre- sented herself to me. She nursed all her children, and while nursing she menstruated regularly, commencing at the expi- ration of five months after parturition. She continued to be very regular after the birth of her last child, and up to the period of the operation. The last period occurred on the 20th of March preceding. After the operation, the same evening, the menses appeared, and continued the usual num- ber of days. For several years Mrs. C. wrote to me on every anniversary of the day of the operation, always assuring me that menstruation was perfectly regular. Being on a visit to Baltimore in December, 1866,1 saw her, and she informed me that she had menstruated as regularly as ever up to May, 1864, when the menses ceased for one year, and again re- turned in May, 1865, for the last time. Case V. — Both ovaries diseased and removed; menstruation regular before the operation ; regular monthly molimen, with white discharge, after the operation. April 25th, 1855,1 removed both ovaries from Miss K. V., of Baltimore, in the presence of Drs. Hintze, Morris, Chatard, O'Donnell, Wilkins, Landis, and Cockrill, of Baltimore, and Drysdale and Jackson, of Phil- adelphia. She was nineteen years old; she first menstruated before her thirteenth year of age, and was regular afterwards. The enlargement commenced eighteen months before. In May, 1854, she was suddenly seized with the most agonizing pain over the whole abdomen, as if something had been rent asunder, and, in the course of one week, the enlargement