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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![The two cases which follow arc new to me, and I have not seen any description of similar cases in any hooks which I have met with. 1 therefore lay them before the Society, as making some addition to the stock of knowledge on diseases of the uterus. Case I.—A. ]>., a married woman, about 25 years of age, had always before her marriage enjoyed good health, and menstruated regularly. About three or four years after her marriage, during which period she had never been pregnant, the discharge of the catamenia became more abundant, and lasted longer than formerly, so that her constitution appeared to Buffer, yet not enough to make her apply for medical assistance. Her attention to her situation was first excited by finding, as she lay in bed, a tumour on the left side of the abdomen as large as the head of a child at the time of birth. This increased in size without giving any pain, and put on very much the form of a gravid uterus. At this time an account of the case was drawn up, and transmitted to me from the country. As it was impossible to form any accurate opinion of the case without seeing the patient, I proposed that she should be brought to town. In the meantime some new symptoms took place. The tumour continued to enlarge, so as to press upon the rectum and bladder, producing constipation of the bowels and suppression of urine. On examining the parts, in order to introduce the catheter, the surgeon in the country found a large, hard, and insensible tumour, projecting from the uterus into the vagina. From a notion that it might be of the nature of polypus, some ineffectual attempts to remove it were made; after which she came to London, where she was seen by mc, and afterwards by Dr. Baillie in consultation. At this time the uterus was marly as large as at the termination of the sixth month of pregnancy, and from the os uteri, which was very high up, and with difficulty reached with the finger, a large tumour was found to project, spreading sud- denly, and filling the cavity of the pelvis. Prom the lower and anterior part of it, a process, fouror five inches long, protruded into the os externum, and projected externally, so as to be extremely troublesome, by irritating the surrounding parts. This process wasaltogethei insensible to the touch.](https://iiif.wellcomecollection.org/image/b21030170_0550.jp2/full/800%2C/0/default.jpg)
