Case of ovarian dropsy, in which both ovaries were excised, terminating fatally on the seventieth day, from strangulation of the intestine / recorded by Drs Bennett and Handyside ; with Pathological and clinical observations on encysted tumours of the ovary / by John Hughes Bennett.

  • Bennett, John Hughes, 1812-1875.
Date:
1846
Catalogue details

Licence: Public Domain Mark

Credit: Case of ovarian dropsy, in which both ovaries were excised, terminating fatally on the seventieth day, from strangulation of the intestine / recorded by Drs Bennett and Handyside ; with Pathological and clinical observations on encysted tumours of the ovary / by John Hughes Bennett. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    Shortly after tl»e operation, she complained of considerable pain n the abdomen towards the left side, which was not increased on ressure. Fifty minims of tincture of opium to be taken imme- iately. 7 p. M. Experiences pain over the abdomen analogous to ramps, not increased on pressure. Pulse between 70 and 0. 5t Opii gr. i.; Pulv. Antim. gr. ij.; Con. Aromat. q. s. Ft. pil. ^ta flora sumend. Mittanlur vi. 13th. To-day has felt considerable trembling and faintishness, hich were relieved by tightening the roller. Bowels not reliev- d since yesterday morning; pulse 100; pain in abdomen very ight, not affected by pressure ; has passed forty-eight ounces of rine since yesterday ; vomited her breakfast; tongue much furred. The pills were stopped ; and one drachm of the compound jalap owder Avas directed to be taken immediately. 14th. Passed a good night, and has now no pain in the abdo- len ; but there is considerable tenderness on pressure towards ght side, where the swelling appears to be greatest. Passed fifty unces of urine. No powders have been taken since the morning f the 12th. Bowels freely opened by jalap powder. Breath- jssncss. 15th. Passed a restless night, having experienced much nausea nd vomiting. She also felt considerable pain in the right iliae nd hypochondriac regions. The pain still exists, and she savs is luch increased on pressure. The source of pain is very deep- atcd ; is certainly not in the peritoneum. ■ The puncture is now ealed; the abdomen is still voluminous, but soft. On palpation, tumour with distinct margins, about the size of the adult human ead, may be distinctly felt, firmly attached inferiorly within the elvis, but its upper portion moveable to a considerable extent •om side to side. She describes the pain as being of a dull, nawing, and continued character; not lancinating nor increased n movement. Pulse 98, of natural strength; tongue slightly irred ; has tolerable appetite ; no tiiirst, but says she vomits yerytliing she takes. The matters vomited are thrown up about m minutes after each meal, in successive mouthfuls, accompanied y gnawing pains at the stomach. These latter pains are felt under le fake ribs on the right side. The stomach is often felt to be istendcd, followed by considerable eructations of gas; bowels ave been open four or five times ; urine much increased in amount nee the operation ; to day she passed thirty-eight ounces. -On the - Ofch-paased ten ounces of urine, on the 17th sixteen ounces^ The ompound jalap powder was directed to be given again. July 18th. To-day she was carefully examined by Professor impson, who employed his uterine bougie. By this means the