Annual report : 1934 / Society of the Lying-in Hospital of the City of New York.
- Society for the Lying-In Hospital
- Date:
- 1934
Licence: Public Domain Mark
Credit: Annual report : 1934 / Society of the Lying-in Hospital of the City of New York. Source: Wellcome Collection.
52/60 page 48
![weeks. Five days after admission an examination under anesthesia was done, and a large tumor found in the cul-de-sac. It was impossible to curette the uterine cavity because of the mass pushing the cervix up against the symphysis. The hemoglobin was 68%, so a transfusion of 500 cc. of citrated blood was given. Following this the patient’s tempera¬ ture rose to 40°C., she became disoriented, and had profuse sweating. Patient was comatose at times. Two days later a blood chemistry showed non-protein nitrogen of 73 mg.; uric acid, 5.9 mg.; sugar, 150 mg. Cysto- scopic examination was attempted, but was impossible because of the distortion of the bladder due to the tumor mass. Patient’s condition grew steadily worse. The temperature rose to 41.8°C., non-protein nitrogen to 166 mg., uric acid to 10.6 mg., and the patient died 18 days after admission. Autopsy: Not obtained. History No. 63744—Generalized peritonitis Patient, age 29, white, single, was admitted on May 10, 1934, for repair of a vesico-vaginal fistula. A total hysterectomy, bilateral salpingectomy, and right oophorectomy had been performed in 1931 at another hospital for fibromyomata and tuberculous salpingitis, at which time the left ureter was accidentally severed and later transplanted into the bladder. An attempt was made in 1932 to repair the vesico-vaginal fistula. A cysto- scopic examination was made after admission. Diagnosis was nephro¬ lithiasis, hydronephrosis, fistula between bladder and vagina. Because of inaccessibility by the vaginal route, repair of the urethro-vesico-vaginal fistula was done abdominally 18 days after admission. The day after operation patient’s temperature rose to 39.6°C. On the third day symp¬ toms of generalized peritonitis developed. Blood cultures were negative; patient was given 4 small transfusions; wound healed well; patient continued to drain urine vaginallv; temperature remained elevated. Patient’s con¬ dition grew steadily worse and death occurred 12 days post-operative. Autopsy: Not obtained. History No. 77666—Carcinoma of the Ovaries. Patient, age 57, white, para 1-0-0-1, Wassermann negative, menopause 27 years ago, was admitted to the Medical Service and was transferred to the Gynecology Service two days later after a tentative diagnosis of ovarian cyst had been made. Her history was loss of weight during the previous 9 months, swelling of feet and legs for 2 months, increase in size of ab¬ domen for 3 months and nausea and vomiting. On examination there was evidence of ascites. Gastro-intestinal series could not be performed be¬ cause of the patient’s nausea and vomiting. Six days after admission an exploratory laparotomy was performed, 6000 cc. of fluid were removed / [48]](https://iiif.wellcomecollection.org/image/b31710979_0052.jp2/full/800%2C/0/default.jpg)
