A system of obstetrics . readily born. Hergott gives two instances in which an encysted tumor of the abdom-inal wall was an obstacle to delivery. The bladder greatly distended with urine may, as in the subjoinedillustration, be a cause of dystocia. Fearn1 has reported the case of a woman taken in labor when herpregnancy had lasted between seven and eight months, the head and umbilical cord presenting; after someFig. 298. time the head was delivered, and then the labor was arrested; the arms wereremoved, the chest opened, and then alarge elastic tumor in the abdomen, press-ing up the diaphragm,
A system of obstetrics . readily born. Hergott gives two instances in which an encysted tumor of the abdom-inal wall was an obstacle to delivery. The bladder greatly distended with urine may, as in the subjoinedillustration, be a cause of dystocia. Fearn1 has reported the case of a woman taken in labor when herpregnancy had lasted between seven and eight months, the head and umbilical cord presenting; after someFig. 298. time the head was delivered, and then the labor was arrested; the arms wereremoved, the chest opened, and then alarge elastic tumor in the abdomen, press-ing up the diaphragm, was discovered :the tumor was punctured, the puncturegiving escape to a large amount of red-dish, watery fluid, and the labor soonended. Examination of this tumor showedthat it was the bladder, but unconnectedwith the urethra. Porak2 has reported the case of a woman ineffectual attempts at delivery at homewas brought to the Hospital Saint-Louis. The head and arms of the1 London Lancet, May 9, 1835. 2 La France ANOMALIES CAUSED BY DISEASE OF THE FOETUS. 769 foetus had been torn off in useless efforts to extract the child. Porak,recognizing that the dystocia was caused by distension of the fcetalabdomen, punctured it, and delivered. The cause of the distensionwas proved upon examination after delivery to be retention of urine,hydronephrosis, and cystic degeneration of the kidneys. Madge1 has given the history of a difficult labor, the breech pre-senting, and delivery of the body only effected by strong tractionby means of a silk handkerchief passed over the buttocks andthe thigh: the impediment was found to be a greatly distendedcondition of the childs abdomen, caused by the kidneys beingso greatly enlarged that they resembled a bullocks kidneys in size,and also were like them in shape; each lobule was converted into aserous sac, giving the appearance of, and constituting each kidney, acomplete serous tumor. According to Hergott,2 the first reportedcase of enlargement
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
