Case of extra-uterine pregnancy, terminating in the extraction of a living child by an incision of the vagina.
- Date:
- [between 1810 and 1819]
Licence: Public Domain Mark
Credit: Case of extra-uterine pregnancy, terminating in the extraction of a living child by an incision of the vagina. 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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![a MIDWIFERY. Dr. Delisle has lately communicated to the Societe Medicate dHEmulation, an interesting “ case of/extra-uterine preg- nancy,/terminating in the extraction of a living childly an incision of the vagina*;” of which we shall proceed to give a correct abstract. A lady, aged thirty, and of delicate constitution, after having been some months married, exhibited, in November 1816, the symptoms of pregnancy in an unusually severe form, with violent pains in the hypogastrium and about the anus. They were relieved by the employment of anodynes; but, in December, recurred more than once with increased severity. The same remedies now failed of success. The employment of vermifuges, indicated by the expulsion of lumbrici, was unavailing: and a whitish and floculent dis- charge took place from the vagina. In January IS 17, rending pains were felt in the whole hypogastrium, especially on the right side. The evacuation of urine and faeces was effected with difficulty. The abdonjen was large, irregular, tender, and very tense, especially in the lower part. Appetite variable; obstinate sleeplessness; face pale and dejected ; vaginal discharge continuing. On examination, a round, fleshy, elastic, immoveable tumour was found low down in the vagina, a little to the right, resting firmly on the lower part of the rectum, and filling a portion of the pelvic cavity. The cervix uteri, quite natural, was situated high up, in a vertical direction, immediately behind the pubis, some little to the left, and appeared to.be continuous with the tumour, particularly towards the right; for the left could not be explored sufficiently high. The tumour was considered as inflammatory; and fomentations, glysters, and diluents were prescribed witli transient relief. On the 22nd the discharge recurred, with severe hypogastric pains, which were relieved by the expulsion of some small coagula. On the 23d the vaginal tumour was sensibly increased, and descended below the level of the os tineae ; which was large, open, dry, im- moveable, and continuous with the anterior part of the tumour. The posterior inferior part of the latter was felt by the finger introduced into the rectum. The evacuation of urine continued painful; and a small quantity only was discharged by the employment of a catheter. Retroversion of the uterus was now suspected to exist, complicated with pregnancy, but every effort at reduction was unavailing. On r iV. t' t l ti \ ] J Bulletin de la Societe Medicate d’Emulation, Mai et Juin, ISIS.](https://iiif.wellcomecollection.org/image/b22351565_0004.jp2/full/800%2C/0/default.jpg)
