Cases of fibroma and fibro-myoma of the broad ligament / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: Cases of fibroma and fibro-myoma of the broad ligament / 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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    surgeon in enucleation of broad ligament tumours is to avoid loss of blood. The patients are nearly always sickly and ansemic (although flooding does not occur in this class of tumour), and they bear haemorrhage badly. The author urges the method which he adopted as the best way of avoiding loss of blood. Pressure forceps on the disial side are untrustworthy. The tumour in the case which I am about to record is, I believ&^the largest of its kind ever removed by opera- tion. The patient, J. B—, was 28 years old, and had been married nine years. A year later she was delivered of her first child, at the sixth month. Two years later her second and last was born at term spontaneously; but the labour lasted three days and three nights for reasons unexplained at the time. The period occurred regularly every fourth week, but latterly the show was less regular, recurring for a day or two after twenty-four hours5 dis- appearance. It was never profuse. Of late the patient suffered from severe pain during menstruation. More than five years ago, within a year after her second confinement, Mr. T. W. Mead, of Portsmouth, detected a swelling in the left iliac fossa. It grew slowly for two years. In October, 1896, when she was under the care of Dr. Ward Cousins, in hospital, the tumour reached nearly to the umbilicus. The cervix lay high up behind the symphysis, the pelvis being blocked by a growth continuous with the uterus. Dr. Cousins pushed the tumour out of the pelvis. A year later the patient was readmitted under Dr. Cousins with acute oedema and renal symptoms. According to a uote which he kindly sent me “ the tumour was then fairly out of the pelvis and the cervix scarcely within reach. It had much increased in size.55 The increase was rapid from then till her admission into the Samaritan Hospital on September 27th, 1898, under my care.