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. 1899 edition. Excerpt: ...to be given every half-hour until the bowels moved or six grains had been taken; a thirtieth of strychnin was administered every three hours hypodermatically and half an ounce of panopeptone given by mouth. To-day, the fifth day after the operation, the patent's pulse and temperature are normal and I believe she cau safely be considered out of danger. I will now show you the tumor. You will see it is about the size of an adult's head, that about one-half of it was filled with a blood clot, which was due to the rupture of one of the large veins about the time of the attack of cholera morbus. It is my belief that the violent retching caused the tumor to become twisted at the pedicle or forced down into the pelvis, constricting the veins and causing the rupture of these vessels, at the same time so thoroughly filling the space, as to cause sufficient pressure on the bowel to produce the obstruction. I believe this from the fact that as soon as the tumor was removed the gut was relieved and gases began to escape. The points of interest in this case are the fact that a hand measuring seven inches in circumference or about two and a quarter inches in diameter could be introduced into the rectum, proving a most valuable aid in the diagnosis of a pelvic tumor without so much as paralyzing the sphincter; that an ovarian cyst with a long loose pedicle could become so wedged in the pelvis, as to cause an obstruction in the pelvis, and that the lateral operation is cartainly the most convenient for the removal of such tumors. July 5, 1899--Patient has completely recovered from the operation. DISCUSSION. Dr. F. W. Parham said that he had been strongly impressed with the advantage of the rectal examination; he had been able to introduce his hand up to...