File:Diseases of women. A clinical guide to their diagnosis and treatment (1899) (14768349725).jpg

Identifier: diseasesofwomenc00herm (find matches)
Title: Diseases of women. A clinical guide to their diagnosis and treatment
Year: 1899 (1890s)
Authors: Herman, G. Ernest (George Ernest), 1849-1914
Subjects: Women
Publisher: New York, W. Wood & Co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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rs of an inch thick, lined with smoothpigmented membrane. He therefore concludes that this isthe uterine cavity. I regret that, as it did not occur to me atthe time that I was dealing with a haematometra, I did notexamine the cervical canal. I presume that a fibroid hadbroken down, and caused both bleeding into the uterus andblocking of the cervical canal, for the amount o+ fluid and thethickening of the uterine Avail far exceeded what is ever seenin haematomefcra from retention of menses. Mr. Meredith haspublished a case f differing only in degree from this. In hiscase it was estimated that the uterine cavity contained at * Catalogue, Appendix viii., 1894, p. 32, No. 4,604 a.t Obst. Trans., vol. xxix. p. 422. 782 DISEASES OF WOMEN. least five lbs. of blood. The uterine wall was hypertrophied,being from one to two inches thick. There was a largedisintegrating fibroid mass in the anterior uterine wall, sothat no fluctuation was felt. The rarity of such cases prevents me from making any
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Fig. 215.—Large haematometra, probably caused by the breaking-down of a fibroid.(From specimen, 4,604a, in the Museum of the Royal College of Surgeons.) general statements about them. I know not how they are tobe distinguished from fibro-cystic tumours of the uterus. Hydronephrosis forms a tumour over which, if it is bigenough, fluctuation can be felt, and which may be difficultto distinguish from an ovarian tumour. As a rule thedistinction is made by the fact that an ovarian tumour istethered to the pelvis; and while distinct from the uterus, isyet attached to it, and pulls on it when moved about. Anenlarged and mobile kidney can be pressed up into its placeunder the lower ribs, but not down into the pelvis, and whenmoved about does not pull on the uterus. But a hydronephrosis may be so large as to reach down tothe pelvic brim, and then the limits of its mobility do not aidus. The previous history may help : for the conditions whichcause hydronephrosis often cause renal colic. It i

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