On secondary hemorrhage after parturition / by Alfred H. M'Clintock.

  • McClintock, Alfred H. (Alfred Henry), 1821-1881.
Date:
1851
Catalogue details

Licence: Public Domain Mark

Credit: On secondary hemorrhage after parturition / by Alfred H. M'Clintock. Source: Wellcome Collection.

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    ineffectual; and whilst I was waiting in the house she was seized with a very strong bearing-down pain, like one of the last expulsive pains of labour, which induced me again to ex¬ amine. I found the tumour in the vagina, at the os externum, quite detached from the uterus, as large as a middle-sized orange, with a slender pedicle. From this time the pains gra¬ dually subsided, and the hemorrhage ceased. The patient re¬ covered without the slightest interruption.” The same author details another case where he detached a large polypus, by torsion, from the interior of the uterus, before the withdrawal of the placenta. This patient slowly recovered, but the delay was owing, in a great measure, to all the blood she had lost before Dr. Radford saw her. In these four cases it will be perceived that the pedicle of the tumour was forcibly severed, in one instance by unaided uterine action, and in the other three by torsion. In those which I am now about to cite, the extirpation of the polypus was effected by means of the ligature. M. Deguise applied a ligature, after a twin delivery, to a polypus, “ du volume dune poire de bonchretien.” The tumour was detached on the eighth day, and the patient did well. “ M. Guyot relates a case where he saw a female, five hours after delivery, in whom a polypus the size of a foetal head* at term was attached, by a flat pedicle two fingers’ breadth, to the interior and right side of the womb. It had presented be¬ fore the head, but there was no loss of blood. On the following day, on account of pains in the groin and loins, he determined to remove it, which he accomplished with perfect success, by ligature and excision.”—(Oldham.) Dr. Montgomery’s paper, already quoted, contains the his¬ tory of a very interesting case, in which he ligatured a large polypus within three weeks after delivery, and with the most satisfactory result. Dr. Radford was sent for on one occasion, to see an hospital patient who had been delivered naturally and easily on the
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