Cure of an ovarian tumor. by James Tyler Kent, M.D.

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Cure of an ovarian
tumor.
by James Tyler Kent, M.D.
Presented by Sylvain Cazalet

Case (10)

June 1st, 1888.

Miss A. W—., aged
thirty, Irish house maid.

Pelvic tumor, about
which opinion varied. Abdomen resembled pregnancy of nine months.

Dr J. T. Kent

Her friends refused to
go upon the street with her because of her appearance.

She consulted several
surgeons, and some declined to operate.

The tumor could not be
moved, seemed to fill the pelvic cavity.

Its origin could not be
traced ; tumor was very hard.

It being immovable,
very hard and painful, were the reasons why one surgeon could not
operate.

No vaginal examination
was made by me.

She came to my office
because she had heard that a local examination would not be made.

She dates her discovery
of it to five years ago. For two years she has felt much pain in the
pelvis.

Swelling of the pit of
the stomach below the abdomen became distended.

Feet œdematous.

Constant
headache ; cold milk causes pain.

Cannot take cold
things ; everything must be warm. Nausea and vomiting.

Everything eaten makes
her sick and causes vomiting, vomiting after every meal.

Constipation, no desire
for stool for many days.

Always feels a
constriction about the waist from pressure upwards of the tumor.

Distension in stomach
after eating ever so little.

Menses regular, with
cramping pain, has always relieved it by whisky.

Starts suddenly from a
noise.

Restless, and sleeps
badly.

Teeth decayed
young ; they are dark colored.

She says she felt a
lump in the right side as large as a child’s head, which was the first
she felt of it, about four years ago. It was then very hard.

Pain in this lump in
the side has been felt from time to time.

Feet burn ; must
remove the shoes to cool them. She says feet feel like there was mustard
on them. She goes two or three weeks without a stove. Lycop. cm.

July 23rd : Up to
a few days ago she had no vomiting, and the pain is much better. She is
again feeling worse. Lyc. mm.

August 2nd :
Called to see if the medicine was expected to make her worse. S. L.

August 9th :
Called to say the aggravations had passed off and that she was much
better.

September 25th :
Continued to improve up to a few days ago. Symptoms returning. Vomiting
after gating and pain in the stomach. Lycop. mm.

October 28th :
Symptoms all passed away until a few days ago the pain come back in the
pylorus, and again she received Lyc. mm.

November 27th : No
symptoms. S. L.

December, 13th :
Reports no symptoms. S. L.

January 7th : The
tumor has diminished some. No bloating of feet. Can move the tumor and
can discern that it belongs to the right side of the pelvis.

January 26th :
Symptoms returning. Lyc. mm.

February 16th :
She is growing smaller about the abdomen and gaining flesh and color.

March 7th :
Improving. No symptoms.

March 28th : Still
improving.

April 25th :
Stomach symptoms returning. Lyc. mm.

June 3rd : Has
been entirely free from symptoms until cold milk ; cannot take cold
things ; everything must be recently. Feet swelling again ;
cannot drink water nor warm. Headache in forehead and eyes ; pain
in lumbar region ; bowels constipated ; now goes three or four
days ; feet burn. Lyc. mm.

June 15th :
Symptoms all better.

August 15th : All
symptoms have returned. She returns when the symptoms return. Lyc. 2mm.
Fincke.

October 7th :
Reports herself cured. The tumor can be discovered by close examination.
She had not been able to find it, therefore she thought she was cured.
She remarked that the last medicine did her the most good of all the
medicines taken. She remains in perfect health.

Copyright ©
Sylvain Cazalet 2001

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