Report of the City and Fimlury 'Dispensaries. £7 



men enlarged more rapidly, and the health became very 

 bad : she was received into an hospital at the beginning of 

 the present year, and continued till May in such a weak 

 state that it was not thought advisable to operate. Her 

 health being improved, the operation of paracentesis was 

 performed, but only about five or six quarts of a very thick 

 fluid were evacuated, and that with great pain, from the 

 violent pressure made use of to force it through the canula. 

 Its passage was naturally slow, and the operation was tedious 

 in the. extreme. 



The inconvenience she now (Oct. 21, 1808,) experienced 

 from the great enlargement of the abdomen, induced her 

 again to solicit aid from an operation, hoping to experience 

 more benefit than before. 



The abdomen was greatly enlarged in every part, but 

 more so on the right side, which was unequal, and more 

 painful. The fluctuation could not be distinctly felt by 

 myself, but Dr. Lidderdale thought it was evident. -The 

 large-sized trocar was introduced about three inches below 

 the umbilicus in the linea alba ; but the contained matter 

 was so thick as to prevent its passing along the canula, and 

 only about an ounce of a glary substance,, as thick as gelly, 

 but of a fibrous texture, escaped ; some part of which re- 

 sembled that kind of caseons matter frequently founiljn 

 scrophulous abscesses. 



At the upper part of the abdomen near the scrobiculus 

 cordis, the undulating motion of a fluid was evident, but 

 she could not be prevailed upon to be tapped in that part. 



May 1805.— Mrs. , astat. 42. About twelve months 



before this time she thought herself pregnant ; but as the 

 enlargement of the abdomen was attended with more pain 

 than is usual in pregnancy, she applied for advice, and was 

 placed under the care of Dr. Pincard, in the Bloomsbury 

 Dispensary, and was tapped by Mr. Blair ; when only a 

 small quantity of a gelly-hke substance passed the canula,, 

 and she died in four days after the operation. 



On opening the abdomen, the right ovarium reached from 

 the pelvis to the scrobiculus cordis, occupying the whole an- 

 terior part of the abdomen, the viscera of which were ob- 



F <i soured 



if 



