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Updated: June 3, 2025


Ingleby describes a case of fibrous tumor of the uterus terminating fatally, but not until three weeks after delivery. Lusk mentions a case of pregnancy with fibrocystic tumor of the uterus occluding the cervix. At the appearance of symptoms of eclampsia version was performed and delivery effected, followed by postpartum hemorrhage.

The two uteruses had a common cervix; the anterior of the two organs had no adnexa, though there were lateral peritoneal ligaments; it had become pregnant." Hollander explains the anomaly by stating that probably the Mullerian ducts or one of them had grown excessively, leading to a folding off of a portion which developed into the anterior uterus.

Valsalli was summoned and found the woman with an enormously distended abdomen, within which were felt numerous fetal parts; but no fetal heart-sounds or movements were noticed. The cervix was only slightly dilated, and, as no pains were felt, it was agreed to wait. On the next day the membranes were ruptured and 4 more fetuses were delivered.

"The os and cervix uteri," he states, "had been about as firm as usual, moderately hard and, generally speaking, in a natural and normal condition, with the external os closed to such an extent as to admit of the uterine probe with difficulty; but the instant that the height of excitement was at hand, the os opened itself to the extent of fully an inch, as nearly as my eye can judge, made five or six successive gasps as if it were drawing the external os into the cervix, each time powerfully, and, it seemed to me, with a regular rhythmical action, at the same time losing its former density and hardness and becoming quite soft to the touch.

On April 30th the fundus of the tumor was 35 cm. above the symphysis and the uterus 11 1/2 cm.; the cervix was soft as that of a primipara at term. Operation, May 2d: Uterus found empty, cavity 14 1/2 cm. long. Median incision in abdominal wall; cyst walls exposed; seen to be very slight and filled with enormous vessels, some greater than the little finger.

A slave boy assigned to that duty read aloud the names of the souvenirs: "Silver s ham," a ham was brought in with some silver vinegar cruets on top of it; "cervical" something soft for the neck a piece of the cervix neck of a sheep was brought in; "serisapia" after wit "and contumelia" insult we were given must wafers and an apple-melon and a phallus contus ; "porri" leeks "and persica," he picked up a whip and a knife; "passeres" sparrows" and a fly trap," the answer was raisins uva passa and Attic honey; "cenatoria" a dinner toga "and forensia" business dress he handed out a piece of meat suggestive of dinner and a note-book suggestive of business ; "canale" chased by a dog "and pedale" pertaining to the foot , a hare and a slipper were brought out; "lamphrey" murena "and a letter," he held up a mouse mus and a frog rana tied together, and a bundle of beet beta the Greek letter beta . We laughed long and loud, there were a thousand of these jokes, more or less, which have now escaped my memory.

Even the great, central fact, that with each generation the entire race passes through the body of its womanhood as through a mould, reappearing with the indelible marks of that mould upon it, that as the os cervix of woman, through which the head of the human infant passes at birth, forms a ring, determining for ever the size at birth of the human head, a size which could only increase if in the course of ages the os cervix of woman should itself slowly expand; and that so exactly the intellectual capacity, the physical vigour, the emotional depth of woman, forms also an untranscendable circle, circumscribing with each successive generation the limits of the expansion of the human race; even this fact she may not so clearly have grasped intellectually as to be able to throw it into the form of a logical statement.

There was neither ulceration, hypertrophy, or congestion of the os or cervix uteri; no displacement of any moment, of ovarian tenderness. In spite of all her difficulties, however, she worked on courageously and steadily in a man's way and with a woman's will.

The matrix had augmented in volume, and the orifice of the uterine cervix was closed, but there was hypertrophy as if in the second or third month of pregnancy. After examination a piece of reed three cm. long was extracted from the uterus, its external face being incrusted with hard calcareous material. Meschede of Schwetz, Germany, mentions death from a hair-pin in the uterine cavity.

Vaginal examination showed that the cervix, which was slightly deflected forward and to the right and softened, as in uterine gestation, was continuous with the smaller tumor. Cephalic ballottement was obtained in the large tumor.

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