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March 8, 1902

THE INDICATIONS FOR MYOMECTOMY IN YOUNG MARRIED WOMEN, WITH A REPORT OF FOUR CASES OF STRANGULATION OF FIBROIDS DURING PUERPERAL INVOLUTION.

JAMA. 1902;XXXVIII(10):642-645. doi:10.1001/jama.1902.62480100018002c

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Abstract

My belief that the comparative rareness of the accident which forms the subject of this paper, together with the absence of any description of it from the more accessible literature, makes me think these four cases worthy of record; and, moreover, that their considerable clinical importance makes a systematic presentation of the accident worth attempting. These are the two objects of the present paper.

Case 1.  —M. L., a primipara of 30, seen March 12, 1898, with Dr. C. W. Townsend. She was delivered by normal labor on March 9. At the time of the labor, Dr. Townsend discovered a fibroid tumor as large as a mandarin orange on the anterior face of the uterus, near the left cornu. On March 11, she began to have extremely sharp pain in the region of the fibroid, which then became very tender to the touch. This pain came in paroxysms, was intermittent,

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