Extirpation of sarcomatous ovaries in a pseudo-hermaphrodite / by Florian Krug.

  • Krug, Florian.
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: Extirpation of sarcomatous ovaries in a pseudo-hermaphrodite / by Florian Krug. Source: Wellcome Collection.

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    systolic apical cardiac murmur aud diffuse bronchitis. There was considerable edema of the legs, particularly of the right. The general condition of the patient being a very poor one, operative interference, wThich alone could afford relief, was postponed, so that the patient might be brought into a suit¬ able condition to withstand the effects of a serious surgical undertaking. During this time endeavors were made in the direction of acquiring information relative to the sexual life of the patient,, but she being of very limited intelligence, in fact mentally dull, all inquiry was of no avail. In spite of every effort to improve her general condition,, the patient grew worse daily ; the abdominal tumor increased very rapidly in size ; the pulse became more feeble, frequent, and intermittent; frequent respiration, persistent cough, occa¬ sional-vomiting and diarrhea occasioned the patient consider¬ able discomfort; the pains in the abdomen became so violent as to require the frequent administration of narcotics. With such a condition of affairs I decided to operate with¬ out further delay. The patient was placed upon the operat¬ ing table February 26th, 1889. I debated for some time which anesthetic would be the more appropriate. Ether seemed to be contra-indicated owing to the renal affection and the marked bronchitis; again, I feared chloroform with such a marked cardiac weakness. Ether was finally decided upon as the lesser of two evils, but I regretted it later. Operation.—An incision was made in the linea alba extend¬ ing from the umbilicus to the symphysis pubis. On open¬ ing the peritoneal cavity a large quantity of ascitic fluid es¬ caped. There were numerous adhesions between the tumors and the intestines, as well as with the parietes. These adhe¬ sions were divided with considerable difficulty, a number of ligatures being employed for that purpose. I now found that the lower portioAof the tumor of the right ovary had unfolded the right broad ligament, and I was obliged to shell it out from the pelvis. I then made a short pedicle, tied and severed it close to the cornu of the uterus. The same condition existed on the left side, with the exception that the left tumor was- smaller.