Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . ve; female; widow. First seen February 23, 1916,March, 1915, severe pain right iliac fossa; morphine prescribed; several recurrences;constipation. Since August, 1915, constant bloody discharge from left breast; laierdistinct lump developed. Eadical amputation advised by several surgeons. Diagnosisof cancer made by S3veral of them. On examination, found distinct tenderness rightiliac fossa; abdominal gas; lumpy condition in upper quadrant of left breast; ondeep pressure, nipple ex
Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . ve; female; widow. First seen February 23, 1916,March, 1915, severe pain right iliac fossa; morphine prescribed; several recurrences;constipation. Since August, 1915, constant bloody discharge from left breast; laierdistinct lump developed. Eadical amputation advised by several surgeons. Diagnosisof cancer made by S3veral of them. On examination, found distinct tenderness rightiliac fossa; abdominal gas; lumpy condition in upper quadrant of left breast; ondeep pressure, nipple exuded bloody serum. Advised surgical interference for ab-dominal condition and that breast be kept under careful surveillance. Operation,March 11, 1916: Large, pendulous cecum; dilated terminal ileum; incompetent ileo-cecal valve; many abdominal bands and adhesions. Conditions corrected. (SeeFig. 1.) August, 1920: Excellent general condition; breasts normal; no dischargesince sixth day after operation. One month previous to my examination she sawa physician in the South who pronounced her 1100 per cent Fig. 1.—/. Ileopelvic band. 2. Kinked appendix attached to ileopelvic band. 3. Blunt re-tractor holding ileum upward. 4. Pendulous cecum. 5. Pericolic bands, so-called Jacksonmembrane. Case 7— C. ; age forty-one; female; married. First seen May 27, 1914. Fora year enlarged right breast with constant pain; amputation advised by several sur-geons. For many years attacks of pain in regions of stomach and appendix. On ex-amination, found dependent, lumpy breasts; nipples not retracted; pain over epigas-trium on pressure; chronic appendix; intestinal stasis. Advised surgeon who referredpatient for an opinion, to operate upon abdomen and to keep breasts under observa-tion. Abdominal operation performed and diagnosis confirmed. No breast , 1920: Report by surgeon—patients general health good; breasts normal. Case 8.—C. C.+ ; age twenty-two; female; sing
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