Vol. 60, 1909 - University of North Carolina at Chapel Hill

ABSTRACTS. 341
then there has been amenorrhea. Eighteen found in the region of the greater curvayears
ago an adenoma of the left breast was ture, one of which had perforated. 3. A
removed. Owing to the constant aching pain spinster, aged 42 years, had a large subthe
patient sought surgical relief: it was peritoneal myoma removed by subtotal hysthought
advisable to remove at first only terectomy. On the third day she had a
one breast, for the reason that occasionally sudden attack of epigastric pain, and 12
it has been noted that removal of one causes hours later she was very ill, with high temdiminution
in size of the other. As no such perature, rapid pulse, and distended abdoimprovement
took place, the other was also men. Thirty-six hours after the attack the
removed later. On examination the hyper- abdomen was re-opened and a septic fluid
trophy was found to be due to an increase was found coming from the upper part of
in the fat and fibrous tissue. the abdomen, containing flakes of clotted
Most cases of hypertrophy of the female milk. This pointed to a perforating ulcer
mamma begin at puberty and are associated of the stomach or duodenum, and the pawith
some sexual irregularity, usually tient's condition was such that simple drainamenorrhea.
Some cases are influenced by age of the abdomen was resorted to. A
by the u.se of iodine and thyroid extract, post mortem was not obtainable. Blandbut
probably the best course to pursue is Sutton adds that he has not gleaned much
amputation. It is advisable at first to re- information from reports of operations on
move only one breast in order to note tke the pelvic organs with such post-operative
effect upon the other. complications. In 1899 an interesting dis-
A Case ol Tubercular c"ss'on Rheumatism In a
on the "Treatment of Uterine Myo-
Chlld.-Genevrier
i"^ta"
( Annual de Med.
took
etChir.
place in Berlin. During the
Infantiles). The patient was a child three ,'^^'^^^'°"' ^°" ^°^'^o"' stated that he
years of age, who ^°^^
presented , a series of sue- ^ ^''O'"
^f^, P^J'^"* » perforating ulcer
cessive transient swellings, purely inflam-
°^ ^''^ stomach following hysterectomy for
matorv
^^yoina.
in character, at more
Olshausen
or less proalso
stated he recalled
longed intervals,
four
in the various
instances
joints. i The m which patients
f^ l^**"^
I author's assumption
had
of the probably
succumbed after such
tuberoperations
from
! cular type of
Perforation of
this articular rheumatism
the
was
stomach or small intestbased
upon the presence of Pott's deformity '"^'
of the spine; chronic bronchitis, with espe- Serum Treatment oi Cerebrospinal
cial involvement of the right apex, and the Fever.-Curne and MacGregor, in the Lonpositive
outcome of the ophthalmoreaction, don Lancet, analyze the cases of cerebro-
The immediate source of origin was referred spinal fever in the Glascow Fever Hospital
to the localization of tubercular toxins in between Mav, 1906, and May, 1908, in
the joints, by way of a latent tubercular which patients were treated with four'dif-
'"'•""^ferent
kinds of serum. The \
total number
I On of
Perforation
cases was 3,30 of
ol the Stomach
which
and 105 were treated
' Small Intestine as a Sequel to Ovarlo- with antimeningococcic serum. The benelomy
and Hysterectomy.— [i]3„j.i^ytton ^^^'''1 results obtained were a delay in any
(Jour, of Obst. and Gyii. of Hrit. lunp. ) of the fatal issues, and there were a greater
descril)es three cases of post operative "umber of
inrecoveries.
In most cases there
itestinal perforation. 1. Bilateral
vvas
ovariat
least one injection into the spinal
iotomy was performed on a stout multipara,
t^eca after withdrawal of cerebrospinal
aged ,3,1, , who was three months pregnant'.
^"'^- Repeated injections were usually
.The ovariotomy was straightforward, and subcutaneous; massive injections were nean
old unbiblical hernia '-essarily so. was treated at the The authors also state that
same time. The woman died eight days
the serum-treated patients, who survive the
llater, and ^""^^
at the post mortem two ulcers
^e" '^^y^ of illness, have a belter
iwere found in the jejunum, two metres
chance of life,
from the duodenum, one of which had perforated!
2. Right ovariotomy on a
Electricity
spin-
In the Treatment ol Cancer.
ster, aged ,30 years, was followed on the Leopold recently went to Marseilles to
jfiflh day by sudden seizure vv;th acute pain investigate the treatment of cancer by the
;)in the umbilical region and the develop- electric spark, a method advocated by Hart
iimentof peritonitis, to which the patient and reported by him at the Electric Con-
;teuccumbed on the eighth day. At the post- gres-s in Milan in 1906. Leopold savs that
|jmonem I examination there were the usual the written descriptions of the method give
I
[signs of septic peritonitis, including a quan- very little idea of the technic which Hart
I itity of offensive fluid, which trickled from has worked out in the course of several
I the upper part of the abdomen. On exam- years. He regards the fulguration is merely
luation of the stomach three ulcers were a preliminary or adjuvant to the kuife.