A treatise on the medical and surgical diseases of women, with their homopathic treatment .. . is only a, symptom of an effusion of blood, and thatthe cause of the effusion, and the exact locality of the pointfrom which it comes, is often very obscure. Hence, we namethe condition as hematocele, though not a disease in itselfper se. As time passes the symptoms in most cases moder-ate, although there may be more tenderness in the vagina fora time, and a considerable febrile condition. In other in-stances we have symptoms of acute inflammation in thepelvis, resulting in the formation of a pelvic
A treatise on the medical and surgical diseases of women, with their homopathic treatment .. . is only a, symptom of an effusion of blood, and thatthe cause of the effusion, and the exact locality of the pointfrom which it comes, is often very obscure. Hence, we namethe condition as hematocele, though not a disease in itselfper se. As time passes the symptoms in most cases moder-ate, although there may be more tenderness in the vagina fora time, and a considerable febrile condition. In other in-stances we have symptoms of acute inflammation in thepelvis, resulting in the formation of a pelvic abscess some-what similar to that occurring in cellulitis. Extreme sensi-tiveness of the stomach is one of the most constant symptomsof these cases. There is also often much cystic irritation,the urine either being passed with difficulty or frequentlywith much pain. Sometimes the use of the catheter is de-manded in these cases. Prof. Byford* gives to this accidental hemorrhage theterm Metatithmenia, signifying misplaced or vicarious men- * Byford on Diseases of Women, p. 101. Plate XXVIII. RECTO-VAGINAL, OR PELVIC HEMATOCELE, WITH ELEVATIONOF THE UTERUS. PELVIC HEMATOCELE. 719 struation. But as this term would indicate a suppression ofnormal menstruation it is not applicable, as there is suppressionof the catamenia in very few cases of hematocele. Hematocele may occur several times in the same By ford has seen over twenty attacks in one patient dur-ing a period of seven years. Sometimes women suffer fromslight hemorrhages of this character at nearly every menstrualperiod; and the presence of this effused blood in the vicinityof the ovary gives rise to a burning pain, hot flashes, andgeneral sympathetic disturbance of the entire system, con-sisting of backache, headache, general nervousness, palpita-tion, nausea, etc., etc. In some of these cases it is hard todifferentiate between them and ovaritis, or mild , the significant symptom will be found t
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