Journal - American Medical Association . P. Harris, Chas. Herman Thomas, P. , Marie B. Werner, Boyle of Kansas, Bull ofMissouri, Baldy and I. W. Mecaskey to whose courtesyI was indebted for the case, and assisted by Dr. The right cornu-uteri was found elevatedand matted with a mass of mesentery in which it wascompletely encapsulated. This was slowly detachedlayer by layer, and the vermiform appendix separatedfor an extent of two inches. The tip of the appendixgave rise to troublesome bleeding finally checked bythe cautery. An enlarged ovary with a witheredtube intimately ad


Journal - American Medical Association . P. Harris, Chas. Herman Thomas, P. , Marie B. Werner, Boyle of Kansas, Bull ofMissouri, Baldy and I. W. Mecaskey to whose courtesyI was indebted for the case, and assisted by Dr. The right cornu-uteri was found elevatedand matted with a mass of mesentery in which it wascompletely encapsulated. This was slowly detachedlayer by layer, and the vermiform appendix separatedfor an extent of two inches. The tip of the appendixgave rise to troublesome bleeding finally checked bythe cautery. An enlarged ovary with a witheredtube intimately adherent to its periphery was thenraised with great difficulty; a black walled cyst, aboutone and a half centimetres in diameter, burst and aquantity of grumous matter escaped into the peri-toneum. The ovary and tube were removed withgreat difficulty and a part of the hilum was left in thegrasp of the ligature. This was carefully illustration gives a correct indication of thestructural changes in the right ovary, tube and liga-. ment. The left ovary and tube, which were free andBound, I also removed as I was anxious to stop alldetermination of blood to the uterus, [he figuresin iws well the contra si between the two. The opera-lion was protracted, lasting one and three-quarter 668 SOCIETY PROCEEDINGS. [June 12, hours. The patient died on the seventh day of oneof those remarkable insidious attacks of appeared to be doing well until the seventh day,when I found her with a wild frightened look and apulse of 200. -She had no pain at all. 1 broke upthe adhesions in the lower part of the wound, whichlooked well, but I could not reach anything withinthe wound, and she died within two hours. Dr. Harris was present at the autopsy a few hourslater. The recti had a deep-red unhealthy appear-ance, and a few spots of pus lay in the floor of thewound, opened down to the peritoneum. The peri-


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Keywords: ., bookcentury1800, bookdecade188, booksubjectmedicine, bookyear1883