The treatment of chronic perimetritis by puncture and iodine injections / by Charles C. Lee.

  • Lee, Charles Carroll, 1838-
Date:
[1878?]
Catalogue details

Licence: Public Domain Mark

Credit: The treatment of chronic perimetritis by puncture and iodine injections / by Charles C. Lee. 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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    Incidental chronic pelvic cellulitis existed, as a result of sup* pression of menstruation from cold. There was a large and dense deposit on the left of the uterus. After a month’s ineffec- tual treatment of the cellulitis by the usual methods, the combined injection of iodine and mercury was attempted; six minims of Lugol’s solution and ^ grain hydrarg. biniodid. in solution were cautiously injected into the boggy mass through the vaginal roof, with the finest attainable needle of a hypodermic syringe. The patient was put to bed, and a hot vaginal douche given night and morning. No pain or rise of temperature occurred.' In two days the injection was repeated, with no result. Six subsequent injections (eight in all) were given at intervals of two days, without diminution of the deposit, when rapidly in- creasing tenderness and the patient’s unwillingness to remain in bed brought the treatment to an end. Case II. — A. W., aged thirty-two, married, multipara, ad- mitted May 18, 1878, for specific vaginitis. No syphilis or other constitutional taint was ascertainable. Well-marked and exten- sive cellulitis existed, consequent upon endometritis and salpyn- gitis, which followed the gonorrhea; slight tenderness in right iliac fossa, — none on left side ; the uterus was fixed, and the entire small pelvis filled with a deposit of lymph. The perime- tritis had been detected two months previously, but no treatment except hot vaginal douches had been employed. In this case injections of iodine alone were employed. Five minims of Lugol’s solution were first injected into the mass in Douglas’ pouch, and the same amount the following day, with no result. After two days’ interval, ten minims were used in like manner, — no effect for six hours; then a slight temporary rise of temperature and increased tenderness. Two days’ later we employed two injections, — ten minims on the left of uterus, six minims on the right. In two hours this was followed by a chill and high fever, increased pelvic tenderness, and pain, terminating in eight days in a pelvic abscess behind the uterus, which was twice aspirated, but subsequently discharged more fully per rec- tum. The patient was confined to bed one month, with final complete recovery. Case III. — S. R., aged forty-three, single, admitted June 6 for chronic perimetritis, which had relapsed several times ; no decided cachexia, but very anemic, and probably strumous. The deposit was confined to Douglas’ pouch, which was full and bul-