Surgical Cases Occurring in the Massachusetts General Hospital, Service of Dr. George H. Gay

H. P. Quincy
1867 Boston Medical and Surgical Journal  
native of Ireland, single, 18 years of age, was admitted into the Hospital Dec. 8th, 1866. Patient tells a very irregular story about herself. It seems that there has been a swelling for two or three years in the usual situation of femoral hernia of the right leg; sometimes a little smaller, but never entirely disappearing. Patient is decided on this point. She hinted at an increaso of pain and swelling at her menstrual periods. Her attention was attracted to this swelling on Friday at noon, on
more » ... Friday at noon, on account of pain, swelling and tenderness, similar to what she has had previously, only greater in degree. At the first examination, on Friday night, a rounded swelling, the size of an English walnut, was seen in the usual situation of femoral hernia, felt distinctly below Poupart's ligament, and in a measure compressible from side to side. Taxis was not persevered in, on account of the tenderness. No constitutional symptoms present. No fever, rapidity of pulse, abdominal tenderness, swelling, nausea or vomiting. Patient has been "in the habit of going three or four weeks without an operation of the bowels. Last operation was nine days ago. Catamenia generally regular, without pain. Last cata-¡menia twenty-six days ago. liad taken six drachms of Tarrant's aperient without effect. Slept poorly on Friday night, on account of pain in the swelling, which was undoubtedly intestinal. During Saturday, pain about the same, with a feeling at times of nausea. Swelling about the same. Dec. 9th.-Last night had free operation from bowels after entura.
doi:10.1056/nejm186706130761901 fatcat:svzkvlc4hfhmlfktepq275u4pu