Case of successful double ovariotomy done antiseptically / by James Murphy.
- James Murphy
- Date:
- 1879
Licence: Public Domain Mark
Credit: Case of successful double ovariotomy done antiseptically / by James Murphy. 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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![CASE OF SUCCESSFUL DOUBLE OVARIOTOMY, DONE ANTISEPTICALLY. [Read before the North of England Branch of the British Medical Association.] The present generation has become so familiar with ovariotomy, and its glorious successes, that it is with a certain amount of diffidence I bring forward the notes of a single case, where other more-favoured surgeons publish their triumphs in twenties, and even in hundreds ; still, I trust the details of the following case will be found of sufficient interest to justify its publication. On July 6th, 1878, Mrs. G., aged 39, who had had eight children born alive during the past twenty years, and four miscarriages within the last two years, consulted me, more on account of general malaise than for any feeling of pain or uneasiness referable to any particular part. As she had the peculiar pinched appearance characteristic of ovarian disease, I requested her to undo her clothes, and, on palpation of the abdomen, found fluctuation in an irregular-shaped tumour that occupied the right iliac region and reached nearly to the umbilicus, extending beyond the middle line of the abdomen. On examination, I found the utei'us slightly retroflexed, but otherwise normal as to length of cavity, size, position, etc. ; but through the vagina could be clearly distin- guished, on the left side, a small irregular, fluctuating tumour, about the size of a small orange, which became more distinct by pressure being made on the other tumour ; and when thus pressed down the smaller tumour could be pressed against the side of the pelvis, and detained there, while the larger one was permitted to reascend into the abdomen—thus show- ing that it was in no way connected with it. It thus (with the other ovarian symptoms which it is needless to enumerate) became quite clear that I had to deal with a case of multilocular cyst of both ovaries ; though, as a rule, disease of the second ovary is very difficult, if not im- possible, to diagnose. I could not discover any pelvic adhesions.](https://iiif.wellcomecollection.org/image/b22370201_0004.jp2/full/800%2C/0/default.jpg)
