Anomalies and Curiosities of MedicineGould, George M. (George Milbrey)
Science
Anomalies and Curiosities of Medicine
Gould, George M. (George Milbrey)
Abnormalities, Human; Medicine -- Anecdotes
Bizzen mentions an instance in which from strangulation the head of a
fetus was in a state of putrefaction, the funis being twice tightly
bound around the neck. Cleveland, Cuthbert, and Germain report
analogous instances. Matthyssens observed the twisting of the funis
about the arm and neck of a fetus the body of which was markedly
wasted. There was complete absence of amniotic fluid during labor.
Blumenthal presented to the New York Pathological Society an ovum
within which the fetus was under going intrauterine decapitation.
Buchanan describes a case illustrative of the etiology of spontaneous
amputation of limbs in utero Nebinger reports a case of abortion,
showing commencing amputation of the left thigh from being encircled by
the funis. The death of the fetus was probably due to compression of
the cord. Owen mentions an instance in which the left arm and hand of a
fetus were found in a state of putrescence from strangulation, the
funis being tightly bound around at the upper part. Simpson published
an article on spontaneous amputation of the forearm and rudimentary
regeneration of the hand in the fetus. Among other contributors to this
subject are Avery, Boncour, Brown, Ware, Wrangell, Young, Nettekoven,
Martin, Macan, Leopold, Hecker, Gunther, and Friedinger.
Wygodzky finds that the greatest number of coils of the umbilical cord
ever found to encircle a fetus are 7 (Baudelocque), 8 (Crede), and 9
(Muller and Gray). His own case was observed this year in Wilna. The
patient was a primipara aged twenty. The last period was seen on May
10, 1894. On February 19th the fetal movements suddenly ceased. On the
20th pains set in about two weeks before term. At noon turbid liquor
amnii escaped. At 2 P.M., on examination, Wygodzky defined a dead fetus
in left occipito-anterior presentation, very high in the inlet. The os
was nearly completely dilated, the pains strong. By 4 P.M. the head was
hardly engaged in the pelvic cavity. At 7 P.M. it neared the outlet at
the height of each pain, but retracted immediately afterward. After 10
P.M. the pains grew weak. At midnight Wygodzky delivered the dead child
by expression. Not till then was the cause of delay clear. The funis
was very tense and coiled 7 times round the neck and once round the
left shoulder; there was also a distinct knot. It measured over 65
inches in length. The fetus was a male, slightly macerated. It weighed
over 5 pounds, and was easily delivered entire after division and
unwinding of the funis. No marks remained on the neck. The placenta
followed ten minutes later and, so far as naked-eye experience
indicated, seemed healthy.
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