A remarkable extra-uterine case / by Josiah Bartlett.

  • Bartlett, Josiah, 1759-1820.
Date:
[between 1810 and 1819]
Catalogue details

Licence: Public Domain Mark

Credit: A remarkable extra-uterine case / by Josiah Bartlett. 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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    charge of urine subsided ; the digestion from the wound good, and it is gradually closing. 5th. The discharge from the wound was so small, and the appearance so favourable, that she required but one dressing. Her strength gaining rapidly under the treatment which was at first jidopted, she was able to sit up two or three hours. I continued to dress the wound daily until the 20th, when it was dressed every second or third day; the quantity of matter being very small. From this period the w ound be- gan to cicatrize, and at the date of this communication is so nearly healed, as ouly to discharge a small quantity of lymph. The patient has rode, visited her neighbours, and is in bet- ter health, than during the last eight years. It should have been noticed, that I frequently injected warm water into the wound, and used alcohol freely over the dressings, which had a good effect in sweetening *and strengthening the parts. The gentlemen w-ho attended the operation, and others, called occasionally to notice the pro- gress of the case, and I w-as much obliged by their attentions. In the American Magazine, published at Boston in 1746, is related the history of a woman, with an extra uterine foe- tus from 1731 to 1745, during which period she had six full grown children. In three weeks from her last parturition, there was an opening in the tumour near the navel, from which matter was discharged (about eight ounces in a day) for three months, when a portion of the head of a child was discovered, and some small bones were extracted; an inci- sion was then made and the rest of the bones were removed at different periods, in four days, when the wound was stitched up. She died soon after ; and, on dissection, it was ascertained that the foetus had laid in the left fallopian tube, which was greatly distended, and adhered to the peritonaeum; the right tube and the uterus were in a healthy state. In the Massachusetts Medical Communications, Vol. I. Part III. p. 30, is an interesting account of an extra uterine case, which continued more than seventeen years, during which time the woman had four children and several abor- tions. She died in Jb02, when it appeared on examination, that the “ uterus and right fallopian tube were in a sound state; the left tube was greatly enlarged, and from it was taken the bones of a full grown foetus.” These, with the exception of one in 178.3, published in the Memoirs of the American Academy of Arts and Sciences, Vol. I. p. 55J, where a quantity of hair was taken from an ■abscess in the abdomen, and a question arose relating to ait extra uterine iietus, are t^ie only cases in our Commonwealth no. 206, n a which