This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1875 edition. Excerpt: ...but hydronephrosis, with consecutive affections of the kidneys, is a very frequent occurrence. The ureters are verr apt to be narrowed, partly by carcinomatous growths and partly as a result of flexures and constrictions due to the processes going on around the uterus. If the mucous membrane of the bladder is involved in the degeneration, we have catarrh or diphtheria of the bladder, and, after the ulceration of the neoplastic masses, a vesico-vaginal fistula, with its sad consequences. The carcinoma also not infrequently passes over to the rectum. Even before that, we may have obstinate constipation, as well as catarrh of the large intestine, if considerable tumors narrow its calibre. If perforation takes place, we generally have a a result the formation of a cloaca--as a fistulous opening into the bladder is usually formed before this occurs. The general condition may be excellent at the beginning of the disease, especially up to the period of ulceration. Gradually, however, it becomes very bad, in part from the loss of blood and nutrient fluids from the cervix, but in great part, also, from the disturbances in the intestinal canal, which are the constant accompaniments of carcinoma. In some cases obstinate constipation is present, while in others, generally beginning in the later stages, there is profuse diarrhoea, together with very great loss of appetite, and quite commonly vomiting. The latter symptom may depend upon various causes, among which Gusserow especially calls attention to the nauseating discharge and the uraemia caused by the constriction of the ureters. If the pain deprives the patient of rest at night, if the blennorrhcea is very profuse, and if the hemorrhages are abundant, the most marked cachexia will be established, ..