This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
The following notes of this case I owe to the courtesy of Dr. John K. Mitchell, her attending physician:
Miss X., æt. 42, American, author. Family history good. Previous personal history good up to about twelve years ago, when she began to suffer in many ways, pointing toward a uterine growth. After two years or more of treatment, Dr. S. Weir Mitchell recommended that the ovaries should be removed. This was done per vaginam by Dr. Wm. Goodell in the winter of 1876-77. The tumor diminished, but she has never been free from pain since, chiefly in the left hypochondrium, but extending both up and down. For between two and three years before I first saw her (January 25, 1887), her general health had been steadily growing worse, and the distress in the side increasing to such a degree that she was utterly unable to work, and was wretched alike
KEEN WW. A CASE OF HYSTERECTOMY.Read before the Philadelphia County Medical Society, April 11, 1888.. JAMA. 1888;X(19):580–582. doi:10.1001/jama.1888.02400450008002