. Lectures on natural and difficult parturition . urity if alarge polypus occupied the cavity of the uterus ; it is, therefore,fair to assume, that when a polypus is found to impede parturi-tion, it must be attached to the mouth of the uterus, and there-fore it can be the more easily traced to its origin, so that youhave every facility to assist your diagnosis. Another cause of obstruction may arise from a fibrous tumourof the uterus. A remarkable and very interesting case of thiskind is recorded by Dr. Beatty,* in which the tumour was so largeand apparently so attached, as it was thought woul
. Lectures on natural and difficult parturition . urity if alarge polypus occupied the cavity of the uterus ; it is, therefore,fair to assume, that when a polypus is found to impede parturi-tion, it must be attached to the mouth of the uterus, and there-fore it can be the more easily traced to its origin, so that youhave every facility to assist your diagnosis. Another cause of obstruction may arise from a fibrous tumourof the uterus. A remarkable and very interesting case of thiskind is recorded by Dr. Beatty,* in which the tumour was so largeand apparently so attached, as it was thought would render theCeesarian section necessary. It was agreed, however, to Avait,and to observe the action of the uterus, as long as it might bedone with safety. After some time, and to the surprise of thosein attendance, the tumour appeared to retreat from its situation,while the child began to occupy its place, and to present its foot;this was seized, and the delivery with great difficulty child was still-born, but the mother Osteo-sarcoma. * Dublin Medical Journal, vol. xvii. p. 411. 184 LECTURES ON PARTURITION. OsTEO-SARCOMA sometimes grows from the sacrum. The bonytumour may be so large as to render delivery per vias natiiralesimpossible, and therefore the Ceesarian section must be had re-course to. But it may be small enough to prevent this necessity,although it may be difficult to save the child. A case of thiskind came under my own observation, where a tumour, about thesize of an orange, was connected to the middle of the sacrum; itwas perfectly immovable, and of bony hardness ; the head of thechild could not pass it, nor was there the least hope that it couldbe drawn by the forceps through the narrow space left in thepelvic cavity; the head was therefore perforated, and the childremoved : the mother perfectly recovered. Beside these more usual causes of obstruction to delivery. had detailed, many years ago,* two very remarkable casesof tumour
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