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Updated: May 31, 2025
Fracture of the pubis near its symphysis constitutes a grave injury, as there is danger of the bladder becoming caught in the fissure and perforation of its wall may result. Such a case is reported by Bauman wherein a three-year-old gelding bore the history of having been lame for ten days. Upon rectal examination the bladder was found to be hard and tumor-like and about the size of a baseball.
The gangrenous spot over the left ilium is separating from the surrounding tissues. Removed considerable dead flesh from this spot, leaving an opening or pouch one inch in diameter, leading down to the pubis, just beneath the oblique muscles. Feb. 19th, 9 A. M., pulse 106, temp. 99.5. Both sinuses discharging very freely.
The beardless were 12.1 per cent., those with no axillary hair 9 per cent., those with no hair on pubis 0.4 per cent. This corresponds with the fact that hair appears first on the pubis and last on the chin. In the first class 69 per cent, were beardless, 54 per cent, without any axillary hair and 6 per cent, without pubic hair.
The two openings eventually healed, but for twenty-two months he passed pieces of bone by the natural channels. Eve records the case of a private in the Fifth Tennessee Cavalry who was shot in the right gluteal region, the bullet penetrating the bladder and making its exit through the pubis. He rode 30 miles, during which the urine passed through the wound.
Examine organs of chest and abdomen through an incision made from symphysis menti to pubis, reflecting tissues from chest wall and cutting through costal cartilages.
Made an opening in the lower part of the pouch to the left of the pubis for better drainage, as the patient usually lies on the right side. Laxative has operated. After washing out both sinuses with a five per cent. solution of carbolic acid, I inject the smaller sinus with liquid vasaline. Feb. 20th, 9 A. M., pulse 112, temp. 103.5.
The cause of this affection is suppression of the courses, fullness of body, the immoderate use of sexual intercourse, frequent handling the genitals, difficult child-birth, violent motions of the body, falls, blows, to which may be added, the use of strong pessaries, whereby the womb is frequently inflamed, cupping glasses, also, fastened to the pubis and hypogastrium, draw the humours of the womb.
The measurements made at the time were as follows: circumference at the largest part, just below the umbilicus, 50 inches; circumference just below the mammae, 35 inches; from the xiphoid cartilage to the symphysis pubis, 32 inches, not including the appendum, which is shown in the picture. Percussion suggested a fluid within a sac. The uterus was drawn up to the extent of from 12 to 14 inches.
These two ligaments are long, round and nervous, and pretty big in their beginning near the matrix, hollow in their rise, and all along the os pubis, where they are a little smaller and become flat, the better to be inserted in the manner aforesaid. It is by their means the womb is hindered from rising too high.
If this have not the desired effect, then the following plaster should be applied: Take an ounce and a half of balganum, two drachms of colocynth, half an ounce each of the juice of motherwort and of rue, and seven ounces of virgin bees' wax: pound and melt them together, spreading them on a cere-cloth so that they may spread from the navel to the os pubis and extending to the flanks, at the same time making a pessary of wood, enclosing it in a silk bag, and dipping it in a decoction of one drachm each of sound birthwort, savin colocinthis, stavescare and black hellebore, with a small sprig or two of rue.
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