Dermoid cyst of the ovary / by Jas. A. Grant.

  • Grant, J. A. (James Alexander), 1831-1920.
Date:
[1878?]
Catalogue details

Licence: Public Domain Mark

Credit: Dermoid cyst of the ovary / by Jas. A. Grant. 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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    after leaving the Infirmary there was a third discharge of about four quarts. August 25th, 1878, in consequence of consider- able inconvenience and moderate suffering and at the earnest solicitation of Mrs. M., she was admitted as a patient into the Ottawa General Protestant Hospital. I examined the case most carefully, as from the history, it presented unusual features of interest. She was much larger than a person at the full period of pregnancy, and the abdomen presented no enlarged or dark-colored veins, such as frequently observed in fibro-cystic uterine tumors. There was a dull percussion sound generally, but no solid deposit anywhere in particulai'. The abdomen was moderately soft and elastic in its entire extent, and' fluctuation could be detected without any difficulty. On examination, per vaginara, the uterus and bladder presented no abnormality, beyond what was the result of an unusual degree of pressure. The rectum was healthy, and in the pelvic viscera, no indication of malignant disease, thus supporting strongly the outward signs, as to the absence of organic cancerous change of structure being in progress in any part of the system. The results from a careful examination of the heart, liver and kidneys, were quite satisfactory. After consultation of the hospital staff, the 29th was appoint- ed for operation, which was decided upon at the request of the patient. Chloroform being administered, the usual incision was made through the abdominal walls, which were quite thick and fatty, and the structure of the tumor in the mesian line suffi- ciently exposed to define in a degree its character. The large trocar of “ Spencer Wells ” was used ineffectually, the contents of the cyst being too viscid and dense to flow through the canula, which being removed at once gave forcible exit to the chief liquid contents of the tumor. The cavity of the cyst being well exposed by a free incision, was entered by the hand and the contents removed down to either side of the uterus, no perceptible tumor being observed during the entire explora- tion. The sac or cyst Avas attached by its entire posterior surface to intestines, abdominal Avails, pelvic surfaces, and in fact to all the contiguous structures, no portion of intestine being at any time visible. The entire contents, weighing fully