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May 5, 1888

CASES OF ABDOMINAL SURGERY.8. Removal of Uterus for Fibroma—Death. 9. Digital D latation of Stenosed Ileo-cæcal Valve—Recovery. 10. Loreta's Operation—Death. 11. Ovariotomy—Recovery. 12. Stab-wounds of Liver and Colon—Recovery. 13. Resection at Ileocæcal Valve for Epithelioma—Recovery. 14. Artificial Anus for Encephaloid Obstruction of Bowels—Recovery. Death from Peritonitis. Read before the Philadelphia County Medical Society, April 11, 1888.

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JAMA. 1888;X(18):546-551. doi:10.1001/jama.1888.02400440006001b

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Case 8.—Large fibroma of the uterus. Removal of uterus and ovaries by abdominal section; death on the fourth day.—Mrs. S., æt. 32 years, a patient of Drs. Skilling and MacOscar, of this city, had been ill for two years, and had been bleeding for sixteen months. During the last six months she had never been free from bleeding more than a week at any one time, and for the last ten weeks, she stated, she had bled daily from two to sixteen ounces, the latter amount only after exertion, this confined her constantly to her bed or lounge. She had a good appetite, good digestion, and was well nourished though exceedingly blanched.

The diagnosis of large submucous fibroid was made when I first saw her, six months before, and full doses of ergot had been taken constantly, during all that time, without effect.

At the time of operation, the enlarged

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