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Outside of obstetric practice the injury is quite a rare one. There is a case of death from a ruptured clitoris reported by Gutteridge. The woman was kicked while in a stooping position and succumbed to a profuse hemorrhage, estimated to be between three and four pounds, and proceeding from a rupture of the clitoris. Discharge of Vaginal Parietes.
The only remedy is to open the enlarged part from end to end, carefully to take out the gossamer lining of the cyst, and then to insert some bits of lint on each side of the incision, in order to prevent its closing too soon. In a few days, the parietes of the cyst will begin to adhere, and a perfect cure will be accomplished
These things, therefore, happen together or at the same instant: the tension of the heart, the pulse of its apex, which is felt externally by its striking against the chest, the thickening of its parietes, and the forcible expulsion of the blood it contains by the constriction of its ventricles. Whence the motion which is generally regarded as the diastole of the heart, is in truth its systole.
I put him into a warm bath, and took from him a pound of blood. He seemed to be a little relieved. I did not leave him until after midnight, but was soon roused by his loud screams, and the dog was also retching violently. The cries and retching gradually abated, and he died. The bladder had burst, and the parietes were in a dreadful state of inflammation.
But the real defect, in my opinion, is Corneille representing a public act which decided the fate of two states, as taking place altogether infra privates parietes, and stripping it of every visible pomp of circumstance. Hence the great flatness of the fifth act.
Inasmuch as obliteration of the sac and the feeding artery is out of the question, surgical treatment is confined to causing coagulation of the blood in an extension or pouching of the sac, which, making its way through the parietes of the chest, threatens to rupture externally. This may be achieved by Macewen's needles or by the introduction of wire into the sac.
The head of the fetus could be felt through the abdomen; an incision was made through the parietes; a fully developed female child was delivered, but, unfortunately, the mother died of septic infection. The patient was aged thirty-six, had had no illness, and had been regular from the age of fourteen till July, 1894.
Hollerius gives a very peculiar instance in which the abdominal walls gave way from the pressure exerted by the fetus, and the uterus ruptured, allowing the child to be extracted by the hand from the umbilicus; the mother made a speedy recovery. Farquharson and Ill both mention rupture of the abdominal parietes during labor.
She was absolutely constipated, and at her death her abdomen was so distended as to present the appearance of ascites. After death, the distention of the abdomen was found to be due to a coating of fat, four inches thick, in the parietes. There was no obstruction to the intestinal canal and no fecal or other accumulation within it.
Corey speaks of a woman of thirty-five, three months pregnant, weighing 135 pounds, who was horned by a cow through the abdominal parietes near the hypogastric region; she was lifted into the air, carried, and tossed on the ground by the infuriated animal.
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