had suffered severely from menorrhagia for six months, the
sanguineous discharge coming on almost daily and in large
quantity; extreme exhaustion gradually took place ; her
left leg and the labium of the same side became anasarcous,
and she died apparently of anaemia.—Dr. J . Brown.
F. c. 572. Ulceration of the uterus ; the entire cavity, with
the exception of the neck, is involved in the disease ; the lining
membrane has completely disappeared, the tissue of the organ
is softened, and the exposed surface is ragged, uneven, and
covered with sloughy shreds. The uterus is slightly enlarged,
and its peritoneal surface bears the marks of numerous adhesions.
The disease appears to be allied to that affection called
“ corroding ulcer.” It may be remarked, that the vagina is
partially divided by a septum which runs longitudinally.
F. c. 573. Superficial ulceration of the os and part of the
cervix uteri, occurring soon after parturition ; the glandulse
Nabothi are enlarged.
F. c. 574. Scrofulous disease of the uterus ; the organ is
enlarged to three or four times the natural size, and its tissue
is completely infiltrated by yellow, tubercular matter of cheesy
consistence: the disease is exclusively confined to the fundus
and body. A few tubercles exist in the subserous tissue of the
rectum. The liver was similarly affected ; see A. d. 731; the
ovaries are sound. The patient’s age was about sixty.—School
of College.
F. c. 575. Inflammation and disorganization of the lining
membrane of the uterus. Case:—a woman, set. thirty, and
the mother of three children: a few weeks before her last
confinement, she had suffered a severe injury of her left lower
extremity, by stepping accidentally into a street-grating, the
whole limb being thereby contused and ecchymosed as high
as the abdomen. Labour set in at the natural period, and
she was safely delivered of a healthy male infant: about an
hour subsequently, the placenta came away, and its detachment
was attended with considerable hsemorrhage, which produced
a corresponding effect on the system. After the lapse
of two hours the bleeding recurred, inducing great collapse
and faintness, but wras again checked by appropriate treatment
; the uterus had now contracted so fully that the hand
could not be introduced. Although the profuse hsemorrhage
had been controlled, an oozing of blood still continued; the
tongue became foul, and low fever set in, attended with delirium,
tumid abdomen, and languid pulse : which symptoms
could not be permanently controlled by any class of remedies ;
when restoratives acted, hsemorrhage increased, and when
rejected by the stomach or not administered, collapse of the
vital functions ensued. The fever gradually assumed a more
typhoid character, the vaginal discharge became extremely
foetid, and death took place on the fourteenth day after delivery.
The uterus is as large as it would be at the third month of
utero-gestation ; its inner surface is of a dark green colour,
and presents here and there a nibbled appearance, as if small
portions of the lining membrane had been removed by ulcera-'
tion : a polypous tumor is attached to the fundus by a narrow
pedicle, and a piece of soft fleshy substance, like a slough,
lies almost loose in the cervix.—Dr. Peebles.
F. c. 5751. Drawing exhibiting, in a very faithful manner,
the recent appearances in the above specimen.
F. c. 600. Fibrous tumors of the uterus. Tbte organ is
greatly enlarged. The tumors are of various sizes and occupy
different situations ; some are placed immediately beneath the
peritoneum, and form projections on the surface; others are
embedded in the proper tissue of the uterus; and one as large
as a cocoa-nut, originating in the posterior wall, close to the
lining membrane, has made its way forwards, so as to protrude
into and to distend the cavity. They are composed of a dense,
white fibrous materiel; their connection to the surrounding
K K