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December 18, 1897


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JAMA. 1897;XXIX(25):1261. doi:10.1001/jama.1897.02440510023001j

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I desire to report a rather unique case. The woman from whom this cyst was removed was 37 years of age and lived in a hovel a great distance in the country. I saw her May 13 and operated the same day. The tumor had been growing for thirteen years, and for the last four years very rapidly, so that she was unable to assume the reclining posture for more than a year and a half. The circumference at the umbilicus was seventy-nine inches. The woman was five feet four inches in height and well formed, except that she was very much emaciated from carrying this enormous cyst. Twenty-four gallons of ovarian fluid were removed before she was placed in position to be anesthetized. After that she was placed on her back and ten additional gallons of fluid withdrawn. The adhesions to the anterior parietal wall were terrific. Many ligatures

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