Diseases of the ovaries : their diagnosis and treatment . have been ovarian dropsy. Fouryears ago she was confined with her last child. During herpregnancy she had a great deal of pain in the left side. Thisdisappeared after the labour, but her abdomen did not diminishin size as usual. On the contrary, it continued to increasegradually, but very slowly, until September 1858, when theincrease became more rapid. It was not noticed to increasemore on one side than the other, but extended centrally frombelow upwards. Since the more rapid increase she has lost health,strength, appetite, and flesh.
Diseases of the ovaries : their diagnosis and treatment . have been ovarian dropsy. Fouryears ago she was confined with her last child. During herpregnancy she had a great deal of pain in the left side. Thisdisappeared after the labour, but her abdomen did not diminishin size as usual. On the contrary, it continued to increasegradually, but very slowly, until September 1858, when theincrease became more rapid. It was not noticed to increasemore on one side than the other, but extended centrally frombelow upwards. Since the more rapid increase she has lost health,strength, appetite, and flesh. The catamenia have been quiteregular, but there was a greater quantity than usual last time. Present State.—She is a large, spare woman, of very sallowcomplexion, and the skin is blotched in brown patches, verymuch like s bronzed skin. Bowels regular; rapid, very feeblepulse. The appearance of the abdomen is well represented bythe appended wood-cut, copied from a photograph taken by , but some months later, just before the operation. Fig. The girth of the umbilicus was fifty-three inches, while thevertical measurement from the ensiform cartilage to the sym-physis pubis was twenty-eight inches. She had an umbilicalhernia long before the commencement of her present disease,and the skin at this spot was thin and transparent, being dis-tended almost to bursting. Between the umbilicus and the CASE V. MAY 24, 1859. [J symphysis pubis the skin was cedematous and the linear albi-cantes very prominent, presenting a very remarkable solid tumour could be felt, but fluctuation was very distinct allover the abdomen, though more distinct above, and less below;and, as percussion showed that the intestines were in the lumbarand hypochondriac regions, it was thought probable that anovarian tumour was surrounded by ascitic fluid. Vaginal. ex-amination did not settle the question. The anterior wall of thevagina was somewhat depressed, but the uterus was movable,and no
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Keywords: ., bookcentury1800, bookdecade1860, bookpublisherlondo, bookyear1865
