Fungus Hæmatodes

1838 Boston Medical and Surgical Journal  
of correspondence and sympathy between the different parts concerned in labor. I left my patient in the evening, thinking that the labor would advance, and that 1 should be called during the night. 1 was not sent for, as I anticipated, and on visiting her the next morning found her sitting up and appearing quite cheerful. The pains had nearly ceased, and in a few hours they left her entirely, and every symptom of labor had vanished, so that before night she resumed the superintendence of her
more » ... ntendence of her domestic affairs, as usual. Tliis could hardly be called an attempt at abortion or miscarriage, for the natural period of gestation was completed within a week, according to the woman's calculation, and she was very positive on the subject. In ten or twelve days from this time labor again commenced, and proceeded as before ; the os uteri, however, now dilating and yielding perfectly, so that the child was born in a few hours without any untoward or unusual circumstance. Cases of abortion and premature labor are of frequent occurrence, but I have never seen a case related, neither has one occurred in my own practice, where labor had apparently so far advanced, and where the state of tilings usually attendant on parturition was so nearly perfect, and yet, by a gradual retrograde movement, the parts concerned in labor were restored to the same condition which had existed for months previous. This woman had made no unusual exertion ; in fact, nothing had occurred which might have caused the uterus to take on the parturient action at this time. It was regarded as the natural and proper commencement of labor. Mrs. Jewett, of Rindge, aged 73, widow of the late Dr. Stephen Jewett, some time in June, 1837, called on me to have a wen extracted. The tumor was situated on the superior part of the right parietal bone, and was nearly of the size of a hen's egg. It was less moveable than encysted tumors usually are, but possessed their characteristic elasticity ; no pulsation was perceptible either to the touch or eye. It was about eight weeks since it was discovered, and during the last three, its growth had been rapid. She experienced no pain in the tumor or head, and her health was good for one of her age. She expressed a desire to have it removed, on account of its rapid growth ; and although it presented a suspicious character, 1 saw no sufficient reason for declining the operation. A crucial incision was made through the scalp over the tumor, and while separating the flesh from it, a slight pressure of my finger burst its envelope, when black blood gushed out in a full current. I immediately introduced my finger, and discovered that the tumor, external to the era-
doi:10.1056/nejm183806270182103 fatcat:fwkxwzdnv5dgvbgsvo3jmnpqee