Disease of the Fallopian tubes and histories of fourteen cases operated upon and reports on specimens.

  • Wylie, W. Gill (Walker Gill), 1848-1923.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Disease of the Fallopian tubes and histories of fourteen cases operated upon and reports on specimens. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    Case VI.—Hydrosalpinx {hospital patient),—M. B , a native of Ireland, married, one child. Admitted, November 17, 1883. She is bed-ridden, and has been treated for menorrhagia. She complains of severe pain and tenderness over the left side. Examination shows the uterus retroverted somewhat, and a mass the size of a small hen's Qgg can be felt to the left of the fundus in the left broad ligament. Operation, January 27, 1884. Not- withstanding a slight rise of temperature the first three days after the operation, she made a good recovery. The left ovary and tube were found enlarged and diseased, but the right perfectly normal and free from adhesions, and were therefore left undisturbed. '•'' Examination of speci^nen.—Inspection of the dis- eased tube shows it to be enlarged to the size of a finger, and its walls much thinner than normal. Evidences of adhesion are to be seen all over its exterior. The distal opening has been entirely obliterated, evidently the result of previous inflammation. The accompanying ovary is enlarged to the size of an Enghsh walnut. It was evi- dently much larger before removal, as it contained a cen- tral cyst as large as a marble. The fluid found within the tube contained nothing but a large number of round and columnar epithelial cells. Many groups of well-preserved ciliated cells were found, looking as perfect as if they had just been removed. Case VII.—L. D ■, twenty-eight years of age, married but sterile. Admitted September, 1883. She suffers from dysmenorrhoea, has been bed-ridden for months at times, and has already been in four hospitals. She complains of pain in the back and head, and vomits almost every day. Her pulse is always over 100. For several years she has been unable to work, and is com- pletely demoralized. When examined, the uterus was found retroverted fixed, the tubes and ovaries could be made out slightly enlarged. Operation, March 3, 1884. She did well for two weeks, when the temperature rose to 104°, but this was unaccompanied by pain or tender-