A case of complete inversion of the uterus after childbirth

On December 19, 1894, sick Eleanor M — ko, diagnosed with polypus uteri, was sent to me by a comrade of the land. Arriving to the patient at the hotel, I found her in a very bad state: deathly pale, with a very weak pulse, with t ° to 40.0 °; dirty blood with a strongly putrid odor was discharged from the vagina. The patient was immediately sent to the hospital, where a thorough examination gave the following: the patient is of medium height, the skeletal system is developed correctly, muscles and skin are flabby; the outer covers are very pale; the visible mucous membranes are very pale with a cyanotic tinge; heart, lungs, and urine are normal. External genitals, heavily soiled with a dirty red fluid, are normal; first degree perineal rupture; the genital gap gapes a little; 2 snt. from the entrance to the vagina, the finger comes across a round, rather soft and elastic body, reminiscent, at first impression, of a fibrous polyp; this body, the size of a slightly enlarged uterus, has only a round outline below; above it tapers and passes into a small groove, limited by the external os of the uterus. In place of the body of the uterus, a small solid formation is felt, the size of a slightly enlarged ovary; this formation closes a funnel, which in this case cannot be felt; nothing pathological is felt in the vaults. When viewed in mirrors, the described body appears to be a dirty gray color, in places even completely black; at the slightest touch, the body bleeds quite a lot. The patient's body temperature is 39.6 ° C., pulse 120, very weak and easily compressed; the patient cannot move without assistance.