North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
About the middle of her 8th month, she was washing some linen, and
suddenly felt as if something was tearing in her abdomen; at the same
time, a swelling of the size of two fists (poings) formed on the right
side, below the umbilicus. She fainted, and for six weeks suffered dull
pains in the abdomen. At this time, she had _true labour pains_ for 48
hours, and was attended by a midwife. The os uteri dilated so as to
admit one finger only. The tumour disappeared during these pains. The
patient recovered, with the size of the abdomen undiminished.
In this state she continued for two years and three months, menstruating
regularly. She became again pregnant, with little inconvenience until
the 7th month, when her abdomen was painfully distended, and of a bluish
colour, and fluctuation was induced on the least motion. At the full
period, she was delivered of a large foetus, which she suckled for 15
days. The infant then died of an aphthous affection.
Her milk ceasing, she rapidly declined with hectic symptoms. The tumour
reappeared below the umbilicus about the size of an egg, and soon
opened, discharging from small orifices a little pus. The opening was
enlarged, and some skin and hairs were removed. The patient's
constitution was fast yielding, and gastrotomy was immediately
performed. An incision was made, with the requisite precautions, through
the linea alba into the cavity of the abdomen, from two and a half
inches above the umbilicus to within nine lines of the pubis, care being
taken to prevent the escape of the intestines. A foetus of full size,
in which putrefaction had commenced, was found on the right side of the
uterus. "I raised," says the operator, "the body with much care, and
endeavoured to trace the umbilical cord. This was turned over the fundus
of the uterus to the left side, and terminated in a vascular substance
in a state of suppuration, (probably, the remains of the placenta,)
which was situated below the great omentum. I pressed out, and dried up
the pus, which covered these parts, by means of a sponge. The uterus was
an inch and a half in length and an inch in breadth, of a pale rose
colour, and could easily be distended (se laissait distendre aisement.)
It was otherwise in a good condition."
The wound in the abdomen was closed with sutures. The patient was in
great danger from inflammatory symptoms for 8 days, but eventually
recovered. She left her bed on the 55th day.
60. _Caesarian operation, performed with safety to the Mother and
Foetus._--We condense from JOHNSON'S Review for April last, the
following summary of a case of Caesarian section performed by GRAEFE, on
the 20th of September, 1825.
Public-domain text, read in full here on John Shaqi.
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