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August 6, 1887

A CASE OF HYSTERECTOMYWith Practical Remarks on Laparotomy. Read before Indiana State Medical Society, May 11, 1887.

JAMA. 1887;IX(6):174-177. doi:10.1001/jama.1887.02400050014002b

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Mrs. W., married, aged 35, mother of two children, the youngest 5 years old, consulted me on December 28, 1886, concerning a tumor which she had first noticed about four years previously. During the two or three months preceding her visit to my office, the tumor had given her much annoyance, becoming painful and tender, especially at her menstrual periods. These complaints were accompanied by more or less hectic symptoms, the temperature running as high as 101∟-102∟ F., with deranged digestion.

By the usual methods of examination in such cases I had no difficulty in excluding all but two conditions, namely, multilocular ovarian cyst with very short pedicle, or myoma, soft fibroid of the uterus. The uterine cavity measured two inches. I advised abdominal section and removal of the tumor, of whatever kind it should prove to be. The patient could not consent to be "cut open" during life, but

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