Identifier: americangynaecol1118unse (find matches)
Title: American gynaecological and obstetrical journal.
Year: 1897 (1890s)
Authors:
Subjects: Obstetrics Gynecology
Publisher: New York : D. Appleton & Co.
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

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e arm extremely cedematous. Decapita-tion was performed by Dr. H. F. Jewett but the trunk could not beextracted. On examination with the hand in the uterus he found thecause of obstruction in a large fluctuating tumor. The tumor wasperforated and evacuated through the chest wall and extractioneasily effected. The content of the tumor was a slightly turbid,light brownish liquid, the quantity of which was estimated at abouta gallon. The mother recovered with little or no fever. The tumor proved to be a simple cyst, the relations of which areshown in the accompanying figures. Fig. 1 shows the external ap-pearance of the tumor. Fig. 2, a frozen section of the same, madeafter filling the cyst with gelatin. The cyst is bilobed. One lobeoccupied the abdominal cavity; the other projected downwardthrough the pelvis, pushing the integument of the pelvic floor beforeit. The rectum encircled the posterior and lower aspect of the cyst * Read before the New York Obstetrical Society, March 16, 1897.
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Fig. I. Monstrosity. (From photograph.) 32 Charles Jezvett, M.D. wall. The length of the monstrosity was 42 centimeters; length ofcyst, 24.1 centimeters. The greatest antero-postero diameter ofcyst was 17.5 centimeters. A frozen section of the specimen in the vertical mesial plane andsubsequently a careful dissection was made by Mr. A. H. Heppner,of the medical class. The findings were as follows: The wall of theintra-abdominal portion of the cyst was dense, white, fibrous, non-vascular and about three millimeters in thickness. The entire wallcould easily be separated from the surrounding structures. Itreached the diaphragm, displacing it and the thoracic as well as theabdominal viscera upward. The kidneys were of normal size, paleand flabby. The ureters were slightly dilated at their origins, butnarrowed down to thin impervious cords below. Their lower ex-tremities were lost in the sac wall. The urethra was impervious atthe upper end, at the sac wall, but open below. The testicles we

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