y Py EI 
x a ES. LET "P 7 i 
TT 1:3 diee. Pec te ey 
dk SSCA 
+ , TC Ir 2 
n. o Dr. WAnnEN's Hifory of 
itis not ‘improbable that every doubt and dificulty, attending 
i the: inveftigation, may be entirely removed. : 
Z— — H—, a negro woman, about thirty- two years of 
age, early in the year 1783, applied for medical affiftance, in a 
cafe.of a fwelling in the abdomen, which. had become extremely 
painful, and which began to be attended with | very threatening 
fymptoms. Onexamination, a very large tumour was found Teated 
chiefly on the left fide, occupying the whole [pace between the 
left os ilium and the left inferior ribs, and extending over to the 
right of the umbilical region, pointing a ‘Tittle to the left fide 
of the navel, confiderably hard, and extremely fenfible. Upon 
Anquiry into the origin of the tumour, it appeared, that the pa- 
tient had firft complained of pain in the left groin, and a gene- 
ral enlargement of the abdomen, “immediately after delivery of 
her third child : This gradually increafed after two fucceffive 
labours, and fince the birth of her laft child, now about twelve 
years of age, "had been almoft conftantly painful, though by no 
means in a very diftreffing degree, until about three weeks 
‘prior to her application for advice, At this period her com. - 
‘plaints were greatly exafperated, in confequence of catching 
«cold at the time of the catamenial evacuation, by which a total 
fuppreffion was induced. The common difcutient topical ap- 
yplications were immediately made ufe of ; the ufual methods 
were. employed to renew the difcharge ; but all to no purpofe. 
"The {welling conftantly increafed for about three weeks, when 
an evident tendency to fuppuration being perceived, the method 
-of cure was immediately altered from a difcutient to a fuppura- 
stive procefs. In about two weeks, a fluctuation was percepti- 
ble, and at the end of two more, an opening into the enr of 
e tumour was determined upon. 
An 
