A case of associated streptococcus infection of the vermiform appendix and Fallopian tube / by Hunter Robb.

  • Robb, Hunter, 1863-1940.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: A case of associated streptococcus infection of the vermiform appendix and Fallopian tube / by Hunter Robb. 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.

    1/8
    [From The -Johns JTopMn/j&ffiual Bufyekn^Xo. 20, MarchAstW.] 0-9. ( ' ;£4 imi 19 J§ A CASE OF ASSOCIATED STREWOCOCCU^ INFECTION OF THE VERIVIIFORIVI JDIX A^mLOPIAN TUBE. By Hunter Robb, M. D., Associate in Gynecology to the Johns Hopkins Hospital, Baltimore, Md. History of Case.—N. D., aged 21, black, admitted to the Gynecological Ward of the Johns Hopkins Hospital, Nov. 4th, 1891. Married three years; mother of two children now two and one years of age; two miscarriages at seven and three months. Labors difficult, followed by fever. Men- struated at fifteen; during the past four months, menstrual periods every two weeks, lasting three days. Last period 20th of October, pale in color and slight in amount. Has had profuse leucorrhea for past two weeks. Bowels regular; no urinary trouble. Complains of pain in side and back, headache and general weakness. Appetite good; tongue clean; body well nourished; no history of any serious illness. Examination Nov. 7th, under ether: vaginal outlet moder- ately relaxed, cervix in the axis of the vagina, enlarged and soft, with a small bilateral laceration. External os patulous, admitting the tip of the index finger. Uterus reclining in the pelvis, enlarged and movable. Irregular tumor mass adherent to the broad ligament on the left side, about the size of a lemon. This adherent mass is semi-fluctuant, and of a doughy consistency; it displaces the uterus to the right. Right ovary high up in the pelvis, enlarged and adherent to the uterus. Per rectum: adherent mass outlined on the left side. The Fallopian tube and ovary on the right side are not distinctly palpated. Abdominal section for the removal of adherent Fallopian tubes and ovaries was advised. Urinary analysis, Nov. 5th, 1891, catheterized specimen: clear amber color, sp. gr. 1.024, reaction acid, no albumen, mucous sediment. Moderate number of large epithelial cells, leucocytes free and in groups. Crystals of oxalate of lime. Catheterized specimen examined Nov. 11th; a trace of albu- men with nitric acid on boiling. Slight mucous sediment.