Diseases of the ovaries : their diagnosis and treatment . pogastric regions. This appearsto have formed in a great measure since the first tapping. InJune 1859, she was tapped for the fourth time, thirty-seven CASE XIV. DEC. 6, 1859. 53 pounds of fluid having been removed. On each occasion a fewleeches and general treatment had preceded tapping, onaccount of symptoms of circumscribed peritonitis. For theseparticulars I am indebted to Dr. Protheroe Smith. On admission to the Samaritan Hospital, July 15, 1859, shewas much emaciated, the pulse was very feeble, and she sufferedvery much from diste
Diseases of the ovaries : their diagnosis and treatment . pogastric regions. This appearsto have formed in a great measure since the first tapping. InJune 1859, she was tapped for the fourth time, thirty-seven CASE XIV. DEC. 6, 1859. 53 pounds of fluid having been removed. On each occasion a fewleeches and general treatment had preceded tapping, onaccount of symptoms of circumscribed peritonitis. For theseparticulars I am indebted to Dr. Protheroe Smith. On admission to the Samaritan Hospital, July 15, 1859, shewas much emaciated, the pulse was very feeble, and she sufferedvery much from distention of the abdomen, which was fifty-oneinches in circumference at the umbilicus and twenty-five inchesfrom symphysis pubis to ensiform cartilage. On the 17th,I tapped two cysts, and removed, twenty-two pounds eightounces from one, and ten pounds six ounces from the large solid mass on the left side, before described, was thenseen very distinctly, and she said it had grown very fast sincethe last tapping. The accompanying copy of a photograph. taken by Dr. Wright after the tapping gives a very good ideaof the size and form of the abdomen after the removal of thislarge quantity of fluid. She was most anxious to have thetumour removed, but she was in so depressed a condition thatshe was sent to the country for a time, and readmitted August22. On the 25th I tapped, and removed twenty-nine poundsof fluid, and she was put upon quinine and generous diet. Sheagain left the hospital, but was in for the third time from the 54 CASES OF OVARIOTOMY. 3rd to 26th of October, having been tapped on the 15th, andthirty-six pounds of fluid removed. She was admitted for the last time on November 16, suffer-ing extremely from distention, but still in better general healththan she had been on any former admission. On the 18th Itapped the two cysts which I had tapped in July, and removedforty-one pounds ten ounces of fluid. She was then put upona very nourishing diet, and as, notwithstand
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