Clinical memoirs on the diseases of women . nto the vagina, and extending to the middleof the posterior cul-de-sac; by pressing with the hand on the rightiliac fossa, while the index finger of the other hand, introduced intothe vagina, pressed upon the right cul-de-sac, the tumour, situatedin that part of the pelvis, could be distinctly made out. There wasevidence of general peritonitis on opening the abdomen ; and, on lift-ing the intestines out of the pelvis, the uterus and its appendageswere found so matted together as to be, at first, the right of the uterus a tumour,
Clinical memoirs on the diseases of women . nto the vagina, and extending to the middleof the posterior cul-de-sac; by pressing with the hand on the rightiliac fossa, while the index finger of the other hand, introduced intothe vagina, pressed upon the right cul-de-sac, the tumour, situatedin that part of the pelvis, could be distinctly made out. There wasevidence of general peritonitis on opening the abdomen ; and, on lift-ing the intestines out of the pelvis, the uterus and its appendageswere found so matted together as to be, at first, the right of the uterus a tumour, the size of an ^^^, resemblingan empty bladder, was found. This tumour was formed partly bythe right Fallopian tube, which was distended with pus, and partly bya serous cyst. The peritoneum covering the bladder was thick, butthe sub-peritoneal cellular tissue was healthy. The same may be saidof that covering the anterior part of the uterus and of the broad liga-ments. Between the uterus, bladder and right ovary, was a small serous Fig. 1?.. U. Posterior surface of uterus, c. Left Fallopian tube. T. Right Fallo-pian tube. P. Perforation of tube. cyst. On the posterior surface of the uterus (Fig. 1£ u) were two II 2 100 PELVI-PERITONITIS. tumours^ formed hy the Fallopian tubes. Bands of false membranepassed from the posterior surface of the uterus to the sigmoidflexure. The peritoneum^ which formed the utero-rectal cul-de-sac,was thick, irregular, and-covered with false membranes, which,united by the two distended Fallopian tubes, entirely filled this walls of the uterus were red and infiltrated with blood; its in-ternal surface covered with pus ; the cervix large, turgid, of aviolet colour, but containing no pus in its canal. The two Fallo-pian tubes were united behind the uterus in the posterior cul-de-sac,leaving the posterior surface of the uterus free, as is seen in thesketch, Fig. 13. By means of some false membranes, they wereslightly adiierent to the
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Keywords: ., bookauthorbern, bookcentury1800, bookdecade1860, booksubjectwomen
