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• W657853766 abstract "M. S., white, housewife, aged 2-l years, married 5 years, was born in New York. No operations. Menstruation began at 12, every thirty-five days, periods lasting two days, scant in amount and without pain. Sexual life apparently normal. Took contraceptive precautions for four years. Her last period was on June 30, 1935. Expected date of confinement April 7, 1936. She had a normal pregnancy. Patient began to have irregular pains on April 8, 1936. On April 9 she was admitted to a private hospital. After twelve hours the patient was sent home. She continued to have irregular pains for ten days. At about 11 P.H. on April 19 the bag of waters ruptured, and the patient was apparently about to deliver. She ‘was rushed to the hospital, and the baby was born spontaneously. The placenta was delivered with difficulty, i.e. there was considerable pressure necessary to deliver it. This took place about twenty minutes after the birth of the baby. The delivery was followed by a severe post-partum hemorrhage which the family physician was unable to control. The patient repeatedly bled through the packing in the vagina. One of my associates who was called in consultation told me that he thou:ght the patient had a cervical tear but that she bled so furiously and was in such bad shape that he could not attempt a repair. She was packed and repacked. She received a transfusion at 1:50 *.lhl. and another at 3:30. The bleeding was tinally controlled the following day. The anemia and shock were treated by transfusions, infusions, liver, iron, etc. During her post-partum period the patient complained of severe backache and inabdity to move her legs. She had a peroneal paralysis of both legs with foot drop. She remained at the hospital for a fortnight and was taken home in an ambulance. At home she was bedridden because of the paralysis and there was continuous vaginal spotting. On June 5, 1936, she had a sudden severe vaginal hemorrhage and was brought to the Morrisania Hospital much exsanguinated. The condition was readily diagnosed. There was a firm bleeding mass the size and shape of an inverted pear filling the vagina, and a bimdnual examination revealed the absence of a uterus above the vaginal vault. The vagina was packed and the patient was given a transfusion. The packing had to be replaced several times because of saturation. On June 8 an attempt at a careful examination for the purpose of deciding the best method of treatment was accompanied by such severe hemorrhage that it had to be abandoned. However, we obtained sufficient information to make us feel that a vaginal operation was indicated as soon as the patient’s condition permitted. In the meantime the patient ‘P condition continued to be rather serious. Her pulse was rapid and weak and she continued to bleed through the packing. On the night of June 9 she began to bleed profusely and her general condition grew rapidly worse. However, we felt that ~*l?resented at a meeting of the New York Obstetrical Society, November 8. 1938." @default.
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• W657853766 date "1939-06-01" @default.
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• W657853766 title "An unusual case of chronic inversion of the uterus" @default.
• W657853766 doi "https://doi.org/10.1016/s0002-9378(39)90248-6" @default.
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