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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    adopted except rest and the hot vaginal douches. On October io, as very little tenderness remained, ten minims of Lugol’s solution were injected into the pelvic mass — in two hours this was fol- lowed by a chill and some fever, but no aggravation of pain; there was no repetition of the injection for four days. On Oc- tober 14 I injected eight minims of Lugol’s solution on the oppo- site side of the uterus — no ill effect. On October 16, 18, 2.1, I repeated the injections, increasing slightly the amount up to fif- teen minims ; this was followed by another chill, fever, and pelvic pain lasting for three days, after which the rigors returned with much rectal and vesical tenesmus; in eight days (October 29) it was evident that a pelvic abscess existed, and an attempt was made to aspirate it without success. On October 31 it was obvi- ously pointing in the posterior cul-de-sac, and was then easily as- pirated. It refilled, opened spontaneously through the vagina, and a drainage tube was kept in the aperture. In spite of the greatest care in her treatment, this patient nearly died of septicemic ex- haustion, and was three months in her bed. Cases VII., VIII., and IX. cannot be given in detail, as many of the memoranda of their progress are lost. Enough remain, how- ever, to show that in the first a temporary benefit was obtained which was followed by a relapse; while in the other two no ad- vantage whatever was gained. Case X. — M. B., aged twenty-nine, married, multipara, was ad- mitted October 10, 1878, with a pelvic abscess of long standing. No syphilis, or other constitutional disease existed, and the ante- cedent history was good until the present illness, which began six- teen months before her admission. After confinement at full term the patient found herself less strong and well than usual ; her necessities compelled her to work, and in two weeks she was taken ill with “ inflammation of the womb ” from which she has suffered ever since. For six months she has been unable to walk, or to stand long, and has had a constant purulent discharge. Examination showed a large pelvic abscess to the right of the uterus and in Douglas’ pouch. This had two vaginal openings, both patulous and ragged. The uterus was fixed and anteverted; the left of the pelvis was filled with a dense deposit which was indistinctly boggy on press- ure and tender. The patient was emaciated and anemic but her appetite was fairly good and her bowels regular. No venereal