Transactions of the American Association of Obstetricians and Gynecologists for the year ... . of the uterus adaj-cent to the tear. There was no fresh bleeding on was simply kept quiet with an ice pack over the uterusafter her recovery from shock. Temperature for the first twoand one-half weeks ranged between 980 and On July12, as the lochia was very foul and as the fibroid was evidentlybecoming gangrenous, an easy myomectomy was performed frombelow. The tear into the broad ligament was healing fairlywell. After the operation the patient had an up-and-down FIBROMYOMAT
Transactions of the American Association of Obstetricians and Gynecologists for the year ... . of the uterus adaj-cent to the tear. There was no fresh bleeding on was simply kept quiet with an ice pack over the uterusafter her recovery from shock. Temperature for the first twoand one-half weeks ranged between 980 and On July12, as the lochia was very foul and as the fibroid was evidentlybecoming gangrenous, an easy myomectomy was performed frombelow. The tear into the broad ligament was healing fairlywell. After the operation the patient had an up-and-down FIBROMYOMATA OF THE UTERUS. 381 temperature running between ° and 1020 for the first fewdays, then gradually coming down to normal. Patient leftagainst advice on July 26, fourteen days after operation in fairlygood condition. The patient had a myocarditis, which evidentlyhad been the cause of her collapse during labor. Case II.—C. N. 9728. Mrs. P. S., age twenty-four; by midwife three days before admission to had been normal. After delivery, both the midwife and. Fig. 1.—Large interstitial myoma of cervix and lower zone, causingtrue dystocia and requiring Cesarean section. the patient herself noticed a large uterine growth, which had notbeen observed before. On entering the hospital, the uterus wasfound to be of fair size and an interstitial fibroid mapped out,the size of an adults head on posterior wall of the was moderate but had a foul odor. There was moderatetenderness over the tumor. Patient ran a temperature between1010 and 1020 for thirteen days. The tumor remained the samesize as on admission. Finally, on the fourteenth day, as therewas no perceptible improvement, a laparotomy was performed. 382 RALPH WALDO LOBENSTINE. A panhysterectomy was performed, but even at the time ofoperation we decided that the infection had already invaded thelymphatics. Although the operation was done easily and withdue care to the risk of infection
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