Albany medical annals . oming more profuse and also the painhas been increasing in severity. The flow now lasts one week or overinstead of a few days, as previously, and is very profuse, the bleedingbeing so severe as to greatly weaken her so that she is unable to regain 3M UTERINE MYOMATA SIMULATING PREGNANCY her strength in the intervals. The pain is also very severe, bearing downin character as though the uterus was trying to expel something andcould not. On examination, the uterus was found to be enlarged to the size ofabout a two months pregnancy, freely movable and during the examination
Albany medical annals . oming more profuse and also the painhas been increasing in severity. The flow now lasts one week or overinstead of a few days, as previously, and is very profuse, the bleedingbeing so severe as to greatly weaken her so that she is unable to regain 3M UTERINE MYOMATA SIMULATING PREGNANCY her strength in the intervals. The pain is also very severe, bearing downin character as though the uterus was trying to expel something andcould not. On examination, the uterus was found to be enlarged to the size ofabout a two months pregnancy, freely movable and during the examinationit seemed to vary in consistency as though contracting and relaxing. Thevagina was pale, the cervix hard, but the upper portion of the cervixseemed very flexible, i. e., where the cervix joined the enlarged were normal. The patient was anemic, haemoglobin 40 per cent,but otherwise her condition was about the same as it had been for years. On July 26, 1905, a myomatous uterus was removed at the Albany Hos-. Fig. IV.—Pregnancy Simulated by a Multinodular Myomatous Uteruswith Ascites, X 1-3. Such cases have been reported and the illustration shows how thenodules might be taken for the foetal parts, the large one the head andthe small one a knee or elbow. The ascites permits ballottement, asperfect as in the pregnant uterus. JOHN A. SAMPSON pital. Convalescence was uneventful. Specimen removed shows a myo-matous uterus, in which the main enlargement is due to a submucousmyoma about 5 cm. in diameter arising in the posterior uterine wall andprotruding into the uterine cavity. (See Fig. V). Remarks. This case is described not because there wasany difficulty in the diagnosis previous to the operation, butbecause it shows how changes in the uterus, similar to thesecaused by pregnancy may occur. In this instance a tumor
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectmedicine, bookyear190
