The American Practitioner and News. Vol. XXV. No. 3. Feb. 1, 1898: A Semi-Monthly Journal of Medicine and SurgeryVarious
Science
The American Practitioner and News. Vol. XXV. No. 3. Feb. 1, 1898: A Semi-Monthly Journal of Medicine and Surgery
Various
Medicine -- Periodicals
The method I observed in treating the pedicle was to amputate the cervix
very low down, leaving a very small rim of the cervix, and suturing the
peritoneum over it all the way across the pelvis, making the pedicle
extraperitoneal. The conformation of the growth and its relation to the
cervix uteri made this method of dealing with the pedicle especially
applicable in this particular instance. The patient is thirty-four years
of age, and the operation was urgent on account of persistent hemorrhage
and marked pressure symptoms.
_Discussion._ Dr. J. A. Larrabee: I would like to ask the reporter for
what length of time this tumor had been developing?
Dr. L. S. McMurtry: The woman was thirty-four years of age, and
according to the history obtained the tumor was first noticed three
years ago. The patient has made a beautiful convalescence. I present the
specimen on account of its morphology, and because of the difficulties
that might be encountered in performing an operation in such cases by
the bladder being impacted in the sulcus.
_Tubercular Testis._ Dr. W. O. Roberts: This patient is twenty-four
years of age; his father and mother are living; father sixty-four,
mother fifty-four; his grandfather on his father’s side died at the age
of sixty-four of what was supposed to be consumption; his father’s twin
brother died at the age of twenty, after an illness of eight months, of
consumption; his mother’s family history is good.
This young man had gonorrhea seven years ago, with orchitis of both
sides as a complication, the left testicle swelling first, then the
right; the swelling lasted in each for about two weeks. Had gonorrhea
again in November, 1896, and says again in December of the same year. At
this time he noticed that his left testicle was getting hard in places
and was swollen, but there was never any pain. The inflammatory process
has never been very acute. However, he noticed after taking a horseback
or bicycle ride the testicle would be somewhat tender. Had another
attack of gonorrhea during the month of September of the present year,
which he says lasted only two weeks, and during this attack the testicle
was also affected.
He now has a swelling of the left testicle, and a hardness about it and
in the epididymis, which I would like for the members to examine,
expressing an opinion as to the nature of the trouble.
Public-domain text, read in full here on John Shaqi.
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