4th.?An operation was determined on and performed at 9 a.m., under the influence of chloroform. After carefullv separating the attachments, I made an incision quite at the root of the stalk and detached the tumour. The hemorrhage was rather free, but was easily checked by the injection of equal parts of muriated tincture of iron and water. I then introduced my finger into the vagina, and found that the uterus was dragged downwards, and the os dilated about the size of an eightanna piece. The uterus was placed in its proper place, and kept there by means of a thick pad and bandage. The patient was strictly ordered to lie on her back, aud a full dose of tincture of opium was given her. 4i p.m.?The patient was doing well. No bleeding ; no pain in abdomen ; said that she was comfortable ; pulse below 100. 7th.?She was not disturbed till this morning; on examining the vagina, the neck of the uterus was found in its natural situation and with its natural orifice. 8th.?She sat up and ate her dinner with the other patients. 9 th.?Able to walk about. 10th.?Discharged, cured. The tumour, when cut into, presented a glistening appearance. The structure was examined microscopically by Dr. Mantell, who found it to be composed of fibrous tissue. 20th

TUMOUR OF THE UTERUS. Removed

by

Sub-Assistant

BEOOBUN MOHUN CHATTER JEE,

Surgeon",

Maharajah's

Dispensaut,

Bdrdwan. Muktamoni. aged 45, was admitted under my care into the of Burdwan's dispensary, January 1st, 186G. She had been married for many years, and had borne two living children. On questioning her. I found that about three years before, having ceased to menstruate for one month, she was seize J with profuse haemorrhage, which recurred several times during the past two years. Ultimately the hemorrhage subsided completely. About 24 weeks from the subsidence of the haemorrhage, the patient perceived some enlargement of the abdomen, and as the catamenia was absent, she concluded that she was pregnant. Six days before admission, on her taking a little exertion, she had labor pains ; towards evening there came on strong expulsive pains, during which she expelled a tumour, which puzzled her attendants; she attempted to draw the tumour out, but could not do so, as it was attached to the uterine walls. On examination, there was found a large tumour projecting from the vagina. It was as large as a common baiil fruit, terminating in a very thick stalk, which grew from the situation of the neck of the uterus. The os uteri was not distinctly made out ; the exposed surface of the tumour was abraded from friction with the clothes. The tumour was insensible to the touch, and no bleeding occurred even on rude handling ; the pelvic region was somewhat depressed, but no pain was felt The patient always felt a dragging pain whenever on pressure. she attempted to stand erect. She could sit on a hard bed without any pain ; could pass urine and faeces easily. The pa* General health good. tient to be desponding.

Maharajah

appeared

May,

1866.

Tumour of the Uterus.

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