The removal of suppurating pelvic tumours : illustrated by two cases / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: The removal of suppurating pelvic tumours : illustrated by two cases / 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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    March, 1896, two years after the operation, saying that “the patient is in excellent health, quite plump and strong. There is no yielding of the cicatrix, nor pain at the site of operation. The period is quite regular every month; it is rather scanty, and lasts about three days.” The following case is an instructive example of very chronic inflammatory disease of the appendages. Case 2.—In 1886 Mr. Kingston Barton of South Kensing- ton asked me to see in consultation a young married woman then aged nineteen years. She had suffered from acute pelvic pain since a recent miscarriage. I found the right append- ages enlarged and tender, but quite moveable, and agreed with Mr. Barton that no operation was justifiable. Under his care the painful symptoms disappeared. The patient married for the second time early in 1890. A few months later she caught a severe chill through travelling by train in damp boots. Pelvic pains occurred and the periods ceased. I examined her in June of that year and found that she was pregnant. I could not detect any inflammatory deposit in the pelvis, but pelvic exploration is difficult in a pregnant subject. Dr. Clapham of Wimbledon attended her when she was confined at term. The child yet lives. In 1893 she bore another healthy child. Severe abdominal pains set in three months later. Dr. Sheppard of Putney kept her in bed for fourteen days. The pain passed away. In 1894 she had measles for the first time in her life. Acute inflammation of the ovary followed. Under the treatment of Mr. Pedler of Knightsbridge her health improved, but she did not rest sufficiently to ensure perfect cure. In February, 1895, a violent attack of pelvic pain occurred at the period, with a great rise of temperature. The patient was now twenty-eight years of age and well nourished, but her face was deeply flushed. I examined her early in April. A soft, tender, fluc- tuating tumour could be felt in each iliac fossa, the right being the larger. The uterus was three inches long and move- able ; the swellings extended low down in the corresponding fornices. The pulse was 144, and the evening temperature 100 6°F. A few days later it rose to 102 8°, and the period appeared. I wished to explore directly it ceased, but was prevented from doing so by several complications. On April 17th one eye became inflamed. Mr. Lindsay Johnson examined her and diagnosed keratitis of bacterial origin. It subsided, but the pelvic condition did not improve. On