Hystero-myomectomy complicated with pregnancy / by William H. Carmalt.

  • Carmalt, William H. (William Henry), 1836-1929.
Date:
1900
Catalogue details

Licence: In copyright

Credit: Hystero-myomectomy complicated with pregnancy / by William H. Carmalt. 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.

    5/10 (page 3)
    entirely. In the meantime the sinuses had all healed, and on February 5 the patient was discharged from the hospital cured. On examining the removed mass it v/as found to be composed of one main tulnor, which appeared to be the body of the uterus, with three others in the vicinity of the neck imbedded in it, and a fourth attached to it by a short pedicle. The ovaries and tubes were easily identified on either side, more evident on the posterior surface. On this surface also was a portion much softer than the rest of the mass; this merged into the tumor without any evident line of differentiation. Incising this it proved to be the uterus proper, containing a placenta and foetus of apparentl}^ about three months’ development. The cavity of the uterus below the placenta contained about one ounce of clotted blood, and the inferior opening of the long tortuous cervical canal, representing the os, presented on the anterior surface of the mass. It was only with some difficulty that a probe could be passed through it. The whole mass weighed the next day after being drained of its blood 5 lbs. 14 oz. The tumors were myomata. The accompanying illustrations are a trifle less than one-half the actual siz j of the tumor, as preserved in formalin and alco- hol, which shrinks it somewhat. The greatest diameter taken on the anterior surface in a line from the right ovary to just above the position of the left ovary is eight and a half inches. The uterine cavity measures in the specimen five and three- fourths inches; the foetus is three and one-half inches in length.