A Very Large Ovarian Tumour
نویسنده
چکیده
History.?-The patient was a nullipara with regular Menstrual history except for the last year. Three year back she noticed a small swelling in the right iliac region which appeared to be increasing slowly in size till it reached the present dimensions. Family history.?Nothing special. Physical examination.?Patient lying on the back was unable to see the lower extremities. Abdominal veins prominent. Fluid thrill present. Abdominal viscera ^ere not palpable owing to marked distension of the abdomen. Heart?displaced upwards with feeble sounds. Costal angle?markedly obtuse. Vaginal walls?protruawg, owing to pressure from above. Dimension of the abdomen before operation.?Circumference at the umbilicus?52 inches. Maximum circumference?58 inches. Distance between ensiform cartilage and symphysis pubis?29 inches. Distance between anterior superior iliac spine and umbilicus on the right side 15 inches, and on the left side 18 inches. The patient was operated upon on 31st May, 1941, and 25 pounds of fluid and 18 pounds of solid tumour (total 43 pounds) was removed. The patient made an uneventful recovery.
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