A Practical Treatise on the Diseases of Women Volume 462, P. 1878 (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1875 Excerpt: ...1st. The accumulated pus may discharge itself and the abscess gradually dry up and disappear. 2d. The empty sac, lined by pyogenic membrane, may for an unlimited time go on pouring out pus. 3d. Small abscesses may form and discharge in one part, then others may do so in another, until the whole pelvic areolar tissue is perforated by them and by fistulous tracts connecting them. There are various outlets for the imprisoned purulent accumulation: 1st. Through the abdominal walls or saphenous openings; 2d. Through the pelvic viscera, bladder, rectum, vagina, urethra, or uterus; 3d. Through the floor of the pelvis near the anus; 4th. Through the pelvic foramina, obturator, or sacro-ischiatic; 5th. Through the pelvic roof into the peritoneal cavity. Sometimes the purulent collection burrows into the surrounding tissues and evacuates itself at a distance. In one case which I saw with Dr. Echeverria, it passed through the sciatic foramen, and burrowing upwards and forwards, came forth near the great trochanter. It may thus take so eccentric a course as to mislead the practitioner as to the seat of the abscess. The most frequent channels of evacuation are the vagina and rectum, in the non-puerperal form, and probably the abdominal walls in the puerperal, or at least the results of Dr. McClintockV carefully noted cases would lead us to believe so. In 37 puerperal cases treated by him which ended in suppuration, 20 abscesses discharged in the iliac regions, 2 above the pubes, 1 hi the inguinal region, and 1 beside the anus. Of the remaining 13; 6 were discharged per vaginam, 5 per anum, and 2 burst into the bladder. In the non-puerperal variety it is extremely rare for the abscess to discharge externally, and fortunately in both forms it is rare for it to burst into ...