File:Journal of the Medical Society of New Jersey (1909) (14782763144).jpg

Identifier: journalofmedical6190medi (find matches)
Title: Journal of the Medical Society of New Jersey
Year: 1910 (1910s)
Authors: Medical Society of New Jersey Medical Society of New Jersey. Transactions of the Medical Society of New Jersey Medical Society of New Jersey. Official list of fellows and members Medical Society of New Jersey. Annual report
Subjects: Medicine Socieites, Medical Tuberculosis
Publisher: Lawrenceville, N.J. (etc.) : Medical Society of New Jersey
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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r part of her illness were entirely ineffec-tive. The curette simply aggravated thecondition. Septic absorption from the gangrenousmass added considerably to her misery.The temperature curve was of the trueseptic type, rising as high as 103 degreesand above. A number of doctors had beenin attendance until finally Dr. Seidman wascalled in, to whom it was plainly evidentthat only something radical could prolongher young life. With this end in view, shewas admitted to St. Barnabas Hospital onNovember 20, 1909, having been referred to *Read before the Essex County Anatomicaland Pathological Society, February 10, 1910. Dr. Ill by Dr. Seidman. Her conditionwas, indeed, pitiful—pale, weak, emaciatedand helpless, unable to sleep, no desire forfood, and entirely oblivious to her sur-roundings. She desired to be left alone,insisting that she was dying. The diag-nosis of a sarcoma was not difficult. Al-though a distinctly bad surgical risk, Dr.Ill urged an operation as offering the onlychance.
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Examination showed a large, freely mov-able tumor extending to the umbilicus andoccupying the entire pelvis. At the cervixthere presented a friable polypoid mass,which bled on the slightest manipulation.She had just been through a severe hemor-rhage and had fever and a miserable pulse. A blood examination was as follows:Hemoglobin. 40 per cent. ; red cells, 2.188,-000; leucocytes. 14,800. Differential count:Polymorphonuclears, 68 per cent.; smalllymphocytes. 27 per cent.; large lympho-cytes, 4 per cent.; eosinophiles, 1 per cent. During the first six days in hospital shewas fed on beef juice, eggs and milk. OnNovember 26, 1909, the combined vaginaland abdominal operation was performed,removing uterus, tubes and ovaries. Un-der constant irrigation, the mass projectingfrom the cervix was first extirpated and thecanal closed with mattress sutures to pre- April, 1910 Journal of the Medical Society of New Jersey. 557 vent the escape of septic matter. With thecautery the cervix was next sep

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