REPORTS FROM HOSPITALS

1889 Journal of the American Medical Association (JAMA)  
her more comfortable, but she continued very sick and sore all night. On my morning visit, before the operation, she looked very pale, and was very feeble, still suffering considerable pain. Vaginal examination was not made. On opening the peritoneal cavity dark blood escaped from the wound, and the abdomen was found containing a considerable quantity of blood, liquid and coagulated. In reaching down for the sac, on the left of the uterus, I felt a small rent in it, probably x/¡ inch long,
more » ... x/¡ inch long, which, however, in trying to bring it to the surface, was enlarged, so that all its contents escaped into the abdominal cavity. The bleeding was now very free, the blood being bright red, and easily distinguishable from the old dark blood already contained in the abdomen. The sac was now tied off, and the clots contained within the pelvic cavity turned out. After washing out the abdomen with hot distilled water it was closed, leaving, however, a glass drainage tube. Blood continued to dis¬ charge from this tube for three days, when it was removed.
doi:10.1001/jama.1889.02400970013002 fatcat:eryv62g4tjcsrku23ojafpemdq