Facts and cases in obstetric medicine, with observations on some of the most important diseases incidental to females / by John T. Ingleby.

  • Ingleby, J. T. (John Thomas), 1794-1845.
Date:
1836
Catalogue details

Licence: Public Domain Mark

Credit: Facts and cases in obstetric medicine, with observations on some of the most important diseases incidental to females / by John T. Ingleby. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    the abdominal muscles forcing the uterus still lower, the introduction of the fingers into the vagina proved exceed- ingly difficult. The condition of the patient had now be- come desperate, and it was essential to attempt her relief almost at any risk. The puncture of the bladder, (pre- viously contemplated,) was abandoned under a well- founded conviction that such a measure would have little or no effect in bringing down the uterine orifice. The puncture of the fundus uteri was also suggested, but prior to its adoption it was determined to make a last effort to reach the orifice. “ After much difficulty, and a great degree of force, and in opposition to the strong and powerful exertions of the j^atient, I succeeded in getting my hand into the vagina, forced up my finger above the pubes, and reached the mouth of the womb. An assistant at the same time got his hand into the rectum, and we had thus the perfect command of the patient. By steadily pushing upwards the fundus, and cautiously pulling the neck and mouth of the womb downwards, the tumour was gradually raised above the promontory of the sacrum, and the uterus reduced to its proper position.” A considerable quantity of urine was discharged during this proceed- ing; the pubic tumour disappeared; labour progressed, and a four months foetus, putrid, was extracted about twenty-four hours after the uterus had been replaced. Severe abdominal inflammation ensued, which demanded vigorous depletion ere the patient was safe. She perfectly recovered. It appears, from Dr. Weir’s interesting narrative, that the abdomen and inferior extremities became oedematous from the pressure either of the distended bladder, the retroveited uterus, or both. In this respect, a more extraordinary case recently occurred in this town, for the oedema extended to the face, especially to that side K