Perforating ulcers of the ileum from obstruction after ovariotomy / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927
Date:
1879
Catalogue details

Licence: Public Domain Mark

Credit: Perforating ulcers of the ileum from obstruction after ovariotomy / by Alban Doran. 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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    Reprinted from the Transactions afjie Pathological Society of London for 1879.] ? On r - ^=;-li fif,' I -j 2 * -JV- / Perforating ulcets of the ileum from obstruction after ovariotomy. By Alban Doran. AM—, set. 26, a lady’s maid, was admitted into the Samaritan • Free Hospital, under the care of Dr. Granville Bantock, on November 29th, 1878. Five weeks previous to admission she had been seized with rigors and severe abdominal pain. A practitioner who was called in to attend her, informed her mistress that the patient was suffering from typhoid fever. A fortnight later she was seen by Mr. Manser, of Tunbridge Wells, who could detect no symptoms of any specific fever, but as her temperature varied for several days between 100° and 102°, and as he found that a large fluctuating tumour filled the lower and middle parts of the abdomen, he believed that there had been an attack of peritonitis consequent on ovarian disease. In three weeks the patient was free from all pain and feverishness, and was able to walk about. She then came to London, where she was examined by Mr. Spencer Wells and Dr. Bantock, who were both of opinion that an ovarian tumour existed. During the few days that the patient spent in the hospital before operation her temperature was generally a degree or a degree and a half above normal in the evening. On the night of the 3rd of December it reached 100'6°. The operation was performed by Dr. Bantock on December 4th, and as I assisted that gentleman I had the advantage of seeing the condition of the intestine during life- time. A suppurating multilocular tumour of the left ovary was discovered, containing seven pints of turbid fluid. It was very closely adherent behind to eight or ten inches of the lower part of the ileum. The adhesions were broken down by sponges, and as the raw surface of the intestines bled freely, six small open vessels