Case of presentation of the face : in which sphacelus or ramollissement of that portion of the peritoneum connecting the uterus with the urinary bladder occurred, followed by general peritonitis and death / by John Renton.

  • Renton John.
Date:
[1838?]
Catalogue details

Licence: Public Domain Mark

Credit: Case of presentation of the face : in which sphacelus or ramollissement of that portion of the peritoneum connecting the uterus with the urinary bladder occurred, followed by general peritonitis and death / by John Renton. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    Case OF PRESENTATION OF THE FACE, fN WHICH SPHACELUS OR RAMOLLISSEMENT OF THAT PORTION OF THE PERITONEUM CONNECTING THE UTERUS WITH THE URINARY BLADDER OCCURRED, FOLLOWED BY GENERAL PERITONITIS AND DEATH. By JOHN RENTON. Esq., Surgeon, ^^^l (From the Edin. Med. and Surg. Journal, No. 134. J The history of the following case of child-labour, I consider, may be interesting to a certain class of the readers of the Edin! Med. and Surgical Journal. It is useful in a practical sense ; and I trust, therefore, it may not be wholly uninstructive to those who are more immediately following the practice of midwifery, inasmuch as the appearances upon dissection illustrate, in a very strono- point of view, the dangerous and fatal consequences which resuffc from delay in delivery in cases of preternatural parturition. Mr Monteith, surgeon, Penicuick, called early one morning, to ask my advice and assistance in a case, of which he gave me these particulars; that he had just been sent to a woman, who had been in chdd-labour for fifty or sixty hours ; that he found upon exami- nation the face presenting, and the chin tm-ned towards the pubis the pains quite gone, and the woman in a state of great exhaus- tion. I accompanied him to the case, and found the presentation as he described, the chin resting upon the pubes, and the fore- head turned towards the sacmm. The head had scarcely entered the pelvis. The poor woman was much oppressed with sickness and irritability of stomach ; and her pulse was about 100. She was in her 34th year, and her previous labours had not been se- vere. From the want of sleep, and the long-continued and inef- tectuai action of the uterus, the depression of her spirits was com- mensurate with her bodily debility. She felt all her exertions had tJeen hitherto fruitless, and her labour so very different from her