A Case of Acute Yellow Atrophy
نویسنده
چکیده
The; patient, a widow aged 55 years, entered the hospital with a chronic inflammatory mass ?f many years' standing and a fonl smelling leukorrhcea. She had been treated elsewhere Wlth Snlfarsenol for syphilis and we discovered a slightly positive Wassermann reaction. Cervical smear was positive for gonococci. Hysterectomy with removal of adnexa was advised, but at operation, on separation of coils of bowel from t'he uterus, free pus was encountered in the pelvic cavity and an extensive yellowish white slough. This was removed as far as possible with very little Manipulation or contamination of the abdominal cavity and the wound was closed leaving a rubber tube drain. The patient was in excellent condition for about forty hours when her pulse became feeble and she became semicomatose. There was no distention and very little abdominal pain, but a partial suppression ?f urine. On treatment with glucose, fluids, and alkalis she improved very much, regained consciousness and took her food well. J.he urine, which was normal before operation except for a trace of albumen, was full of hyaline and granular casts, bile, acetone, and diacetic acid. The faeces were pale, strawcoloured and curdy. Jaundice and restlessn.e^s, which became at times a marked deli-
منابع مشابه
Acute Yellow Atrophy of the Liver
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عنوان ژورنال:
دوره 63 شماره
صفحات -
تاریخ انتشار 2017