Four cases of echinococci in the female pelvis / by W.A. Freund and James R. Chadwick.

  • Freund, W. A. (Wilhelm Alexander), 1833-1918.
Date:
1875
Catalogue details

Licence: Public Domain Mark

Credit: Four cases of echinococci in the female pelvis / by W.A. Freund and James R. Chadwick. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    3 f Pi • . M V-*' • /., v A /* t / fe\ V^- . '*/ V* A^y X-»j< iJs> 6/ . ,E» -W FOUR CASES OF ECHINOCOCCI IN THE FEMALE PELVIS.1 By W. A. FREUND, M.D., of Breslau, Prussia, JAMES R. CHADWICK, M.D., of Boston, Mass. 1 In K lob’s Treatise on the Pathological Anatomy of the Female Sexual Organs we find only two organs mentioned as the seats of this entozoon—the ovaries and the uterus. Inas- much as the presence of echinococci in the ovaries is not satis- factorily established by him, mid we are not in position to con- firm or refute his opinions, we Will pass them by without com- ment.2 On the other hand, a more careful examination into the statements made by him and other authors about echinococci of the uterus will not prove devoid of interest. On page 195 Klob makes the following assertions : Many descriptions have been given of hydatids in the womb, all of which properly relate to hydatid moles ; a mistake between the two has undoubtedly been made in these instances. The only fully authenticated case is, in my opinion, that of an acephalo- stic \ esiclc in the uterus reported by Rokitansky.” A search for this case in the latest edition (1801) of this author’s treatise on pathological anatomy will prove futile; but posses- sors of the old edition of 1842 may deem themselves more than usually fortunate, for it rarely happens that old editions are fuller than the more recent ones. We will quote the passages, bearing upon our theme, from the two editions : G)stic formations are extremely rare in the uterus; not a single instance has yet occurred here (Vienna), and but one in- stance of acephalocystic vesicles in the uterus has come under my personal observation.” Edition of 1843, III., p. 538. | Echinococci have been observed (in the uterus) in a few raie eases with perforation of the cyst and extravasation of the 1 From Journal of Obstetrics, February, 1875. O.ietit reports the only known case of echinococci in tlic ovary. Ob- servations, Pathol. Anat., 19-22, Tab. III., 7-11.