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patient
POLYPUS OF THE UTERUS. By Kailas Chundeu
K.?,
Bose,
L. M, S.
Manvaree lady, at. 35, 35j Street., consulted me for obstinate menorrhagia, said to have been of years standShe was amarried lady, and since the date ing. a
Armenian
she arrived at her puberty, she was always re111 her monthly epoch, until the a?-e of 28, when she became very irregular, and the?flow unusually large. She tried many remedies which, according to her statement, only made bad worse. The flow lasted longer than six or seven days during each menstrual epoch For the last few days the flow has been and she has actually taken to her bed. incessant, On examinatiou, a large polypus was about the size of a boy's list from the cervix of the uterus; the pedicle was not distinctly felt. With the greatest I could induce her to submit to an operation. As the patient's condition was frightfully wc?t, I the requested favour of Dr. It. McLeod to examine the 'patient aud become my gui(]e, ,J|le mxt she was placed under the knees
gular
discovered, hanging difficulty
chloroform;
being separated, a speculum was introduced. Dr. McLeod kindly took the pains of intro-
ducing a pair of vulsellum forceps aud hooking the pedicle which was thin aud flat. I applied the ecraseur, and by geutle movement succeeded m removing the poIy|>U3 without shed. ding a drop of blood ; the patient when roused did not know what happened to her From this date her menorrhagia was successfulJy checked, and on the fifth day after the operation, she was quite able to walk and move about. Her progress towards improvement for the first two weeks alter the operation was satisfactory. Oil the twenty-second day a little irregularity on the part of the unfortunate woman
brought
on severe
her
metritis, which
soon
extended
peritoneum, and killed the patient in three days. Remarks.?The object of bringing this case over
to the notice of the profession is simply to show the importance of the examination of the womb 111 cases of menorrhagia, where it becomes chronic and where medicines fail to arrest the In private practice flow. amongst the uneducated classes of people, the proposal for an examination is generally met with an indignant relusal. Within the last six months f had cases of chronic menorrhagia, where examination revealed polypus in four, caucer in two, ulcers around the os in two. The removal of
polypus brought a permanent cure in three, and an unfortunate result in one, where the
was
amenable to
CASES FROM PRACTICE.
r
209
POLYPUS OF THE UTERUS.
July, 1888.]
I
irregular reason.
in \
hey
habits
and not