Essays on the puerperal fever and other diseases peculiar to women : Selected from the writings of British authors previous to the close of the eighteenth century / Ed. by Fleetwood Churchill.
- Fleetwood Churchill
- Date:
- 1849
Licence: Public Domain Mark
Credit: Essays on the puerperal fever and other diseases peculiar to women : Selected from the writings of British authors previous to the close of the eighteenth century / Ed. by Fleetwood Churchill. Source: Wellcome Collection.
Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.
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![[Note.—I have alluded to two cases which have lately come under my care, and there are one or two particulars ahout them which may be worth Doting. I was called to the last of these cases ahout a month ago, and I found a cauliflower excrescence ahout the size of a pigeon's egg growing from the os uteri, and giving rise to the usual symptoms—hemorrhage, watery discharge, .Sec. I was, however, struck by the severe pain felt in the course of the sciatic nerve and ahout the knee, and on careful examination 1 found a large tumour on the left side of the pelvic cavity in the situ- ation of the nerves, both interiorly at the sciatic notch, and superiorly at the groin; firmly adhering to the bony parietes, immovable, and causing the pain by pressure upon the nerves. The tumour was hard ami insensible, except upon rough handling, (piite unconnected with the uterus, and of long standing. The pulse was very quick, and the patient had somewhat of a cancerous aspect. Fearing that this tumour might he malignant, I declined for the present removing the cauliflower excrescence. The other case, prior in point of time, is the one from whom I removed the ex- crescence and a portion of the cervix two months ago. The cervix is nearly healed, and she has menstruated twice since the operation. Ahout a month ago she hegan to complain of a severe, hut intermitting, pain in the left knee, which has since become constant, and extends from the hip to the ankle, preventing all sleep, and accompanied with a very rapid pulse, emaciation, &c. I carefully examined the pelvis internally and externally several times, without being able to detect any cause until a week ago, when I found a flat tumour (rather, indeed, a thickening of the natural textures than a defined tumour) at the sciatic notch, and extending upwards. It is increasing in size, and when pressed upon produces the pain in the hip and knee, so far explaining its origin very well. I do not knowr whether such coincidences are common, but I have thought it right to direct attention to their occurrence in two cases within a short space of time, as being more than merely curious.—Ed.]](https://iiif.wellcomecollection.org/image/b21030170_0548.jp2/full/800%2C/0/default.jpg)
