The medical, surgical and hygenic treatment of diseases of women : especially those causing sterility, the disorders and accidents of pregnancy and painful and difficult labor / by Edwin M. Hale.

  • Hale, Edwin M. (Edwin Moses), 1829-1899.
Date:
1880, ©1879
Catalogue details

Licence: Public Domain Mark

Credit: The medical, surgical and hygenic treatment of diseases of women : especially those causing sterility, the disorders and accidents of pregnancy and painful and difficult labor / by Edwin M. Hale. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

    38/388 (page 30)
    had almost ceased. There was no rupture in either ovary, but the right ovary contained a Graafian follicle about the size of a small pea. (6.) Young suicide; died three days after cessa- tion of the flow. There ivas no recent rupture in either ovary; the left contained a follicle similar to the preceding. Of the foregoing six cases, in only two did a ruptured Graafian vesicle even seem to correspond with a menstrual period; and in two of the cases, the follicles most advanced were so immature that Dr. Williams expresses the opinion that they would probably have ripened by the next return of the flow. Mr. Paget * has reported a case of a woman who was executed for some crime, and the post-mortem appearances tell very forcibly against the ovular theory. The woman had begun to menstruate twelve hours before her execution. ' The ovaries were of moderate size and presented numerous marks of cicatrices upon their surfaces. In the right ovary, three Graaflan follicles projected slightly on the surface and looked healthy, containing clear serous fluid. A fourth was of a very large size and prominent. In the left ovary, one Graafian follicle was fully developed and prominent. We looked for ova in the contents of all these, but in vain. The surface of the ovaries was generally rather more than usually vascular, but there was no peculiarly vascular spot, nor any appearance of the recent rupture of a vesicle, or the discharge of an ovum. In the right ovary, near the surface, was a small cyst or ca^dty, containing what looked like a decolorized clot, and bounded by a thin layer of a bright yellow-ochre substance, and excel- lent example of a fibro-corpus luteum, of one or more months' date, certainly not more recent.' Dalton, in the essay on the Corpus Luteum already referred to, reports two cases, in one of which death occurred during the menstrual period and in the other at its termination. In neither of them had a follicle recently ruptured, although in the second there was one on the point of doing so. I have had tAvo opportunities of examining the ovaries of