Report of the Committee on Obstetrics of the American Medical Association / by D. Humphreys Storer.

  • American Medical Association. Committee on Obstetrics.
Date:
1851
Catalogue details

Licence: Public Domain Mark

Credit: Report of the Committee on Obstetrics of the American Medical Association / by D. Humphreys Storer. 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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    REPORT OF THE Excision of the Uterus.—In the American Journal of the Medical Sciences for Oct. 1850, Professor Paul F. Eve, of Georgia, has published an account of a most interesting case of excision of the uterus. The entire uterus was removed in sitfi, having very extensive encephaloid disease. The patient recovered rapidly from the ope- ration; and, in two months afterward, rode eleven miles on a loaded lumber wagon. She became oedematous (ascites also), but had no hemorrhage, neither protrusion of the disease from the os externum. She lived three months and a week after the ope- ration. Occlusion of the Vagina.—'During the past year, J. Mason War- ren, M. D., of Boston, read to the Boston Society for Medical Improvement an account of three cases of occlusion of the vajrina, accompanied by retention of the catamenia, which were relieved by an operation. A detailed history of these cases, which are of great interest, will be published in the July number of the American Journal of the Medical Sciences. A brief reference to them may not be considered premature. Two of these cases followed labour after instruments had been applied; the third case was congenital. In the first case, after a labour of four days, the patient was delivered of a dead child; severe inflammation followed, attended with sloughing of a portion of the vesico-vaginal septum, so that the remains of the bladder, falling down, became adherent to the pos- terior wall of the vagina, and obliterated the passage. The urethra, also, in part, sloughed. The catamenia had been retained since her confinement a year—causing constant and intense suffering, which was relieved only by narcotics in large doses. On passing the forefinger into the urethra, a hard and slightly elastic tumour could be felt about two inches from the external orifice, pressing back- wards, and partially obstructing the breech. The other hand, being placed on the abdomen, distinguished a large globular mass, rising above the brim of the pelvis; pressure on which communicated a distinct impulse to the finger in the rectum. The tumour felt was decided to be the uterus and upper part of the vagina distended by the menstrual fluid. A dissection was carried up between the rec- tum and vagina, and a trocar plunged into the tumour, when about a pint of thick tarry-looking fluid passed out. During the twenty-four hours succeeding the operation, it was estimated that