Archives of medicine : A bi-monthly journal devoted to original communications on medicine, surgery, and their special branches. . eased meanwhile,and at the time that she applied to me, my note bookrecords it as being as large as in utero-gestation betweenthe seventh and eighth months. Upon her visit to me, on the 9th of June, 1875, I foundMrs. C. very pale, thin, weak, and bloodless. The appjtitewas poor, digestion feeble, pulse rather weak and rapid,and the patients mind much depressed about her con-dition. Physical examination revealed the upper portion of thecervical canal expanded as at
Archives of medicine : A bi-monthly journal devoted to original communications on medicine, surgery, and their special branches. . eased meanwhile,and at the time that she applied to me, my note bookrecords it as being as large as in utero-gestation betweenthe seventh and eighth months. Upon her visit to me, on the 9th of June, 1875, I foundMrs. C. very pale, thin, weak, and bloodless. The appjtitewas poor, digestion feeble, pulse rather weak and rapid,and the patients mind much depressed about her con-dition. Physical examination revealed the upper portion of thecervical canal expanded as at the commencement of labor,the walls of the cervix thin, and atumor filling the cavity above andfirmly attached to the walls of thecervix, except on one side, the uterine sound on this side passedup about five inches, but everywhereelse the growth was attached all theway down to the lowest portion of thecervical canal. The tumor which pre-sented was rather soft and I sus-pected that it might be fibro-cysticinstead of purely fibrous. The uterus had, from thehistory of the case, evidently made determined efforts to. FIBROIDS OF THE UTERUS. 7 expel the tumor; but, on account of its resisting envelope, hadentirely failed in doing more than dilating the os externum. Figure 2, sketched with pen and ink upon the patientsfirst visit, will convey an idea of the attachments of thetumor. The patient being unwilling to remain in town, I decided,first—to pass a large aspirating needle into the mass, toascertain if it contained spaces filled with fluid ; second—if it did not do so, to make an opening into the capsulewhich would constitute an artificial os for the mass ; third— to give ergot steadily to excite expulsive efforts on thepart of the uterus to force out the growth. Accordingly, on the ioth of June, with the assistance ofDrs. H. F. Walker, and S. B. Jones, Jr., this course was in-augurated at the patients hotel, and on the next day shereturned to Red Hook without
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