Lithopedion : report of a case, with a review of the literature / by William Seaman Bainbridge.

  • Bainbridge, William Seaman, 1870-1947.
Date:
1912
Catalogue details

Licence: In copyright

Credit: Lithopedion : report of a case, with a review of the literature / by William Seaman Bainbridge. Source: Wellcome Collection.

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    [Reprinted from the American Journal of Obstetrics and Diseases of Women and Children, Vol. LXV, No. 1, 1912.] LITHOPEDION.1 Report of a Case, with a Review of the Literature. BY WILLIAM SEAMAN BAINBRIDGE, Sc. D., M. D., New York. (With six illustrations.) Report of Case. Case.—Mrs. M. D., aged fifty-four years. Widow for four¬ teen years. Three children, one miscarriage; last child born twenty-four years ago. Menstruation perfectly regular from the time of birth of last child, until it suddenly ceased, at the menopause, four years ago. No period missed during the inter¬ vening years, and nothing to suggest another pregnancy. The miscarriage was the third pregnancy, one child being born after¬ ward. Following the birth of the last child the abdomen, which was unusually large during pregnancy, remained larger than it had been previously. The patient was a large woman, so that no significance may have attached to this fact. She was always well and strong, except for some indigestion, and palpitation of the heart, apparently of purely functional origin. The patient consulted me, February io, 1911, giving a history of having noticed a lump in the lower abdomen two years before, which she thought had been increasing in size of late. She had been receiving electrical treatment “to absorb it,” and had also been given large amounts of various medicines. Physical examination revealed what was supposed to be multiple fibroids of the uterus. Four distinct tumors were felt, two of which seemed rather sharp than rounded. A mass the size of an adult human head extended up almost to the free border of the ribs, on the right side, across toward the bladder in front and the rectum behind. Adhesions between the tumor and the intestines could be made out. The tumor simulated a fibroid connected with the uterus, seeming like a tumor from the fundus, but it was peculiar in that it was very hard, and that two sharp projections could be distinctly felt. The diagnosis was made of fibroid tumor of the uterus, with calcareous degeneration. Some varicose spots were noted in the veins of the legs. No appreciable atheroma in palpable vessels. Heart and lungs apparently normal; urine normal. Early hysterectomy advised. Patient admitted to the New York Skin and Cancer Hospital, February 8, 1911. Laparotomy, February 20. Median incision, through right rectus. The mass 1 Presented before the Twenty-fourt Annual Meeting of the American Association of Obstetricians and Gynecologists, held at Louisville, Ky., September 26-28, 1911. Copyright, William Wood & Company.