A case of exfoliation of the submucous uterine myoma. Perforation of the wall of the uterus. Excision of the uterus with a keliotomy. Recovery

October 28, 1896 arrived at the hospital, sent to me by Dr. Isserson from Bialystok, a resident of the same city, married NM, 40 years old, dark-brown, short, anemic, pale, poorly fed; gave birth 12 times, the last - 2 years ago. Monthly after childbirth appeared in her every 4 weeks, abundant; the last two months - bleeding associated with persistent pain. Examination revealed a tumor, the size of the head of a newborn child, filling the entire lumen of the vagina, with a surface covered with a gray-yellow bloom. In its upper part, the tumor is narrowed and enclosed by the pharynx and cervix. The protruding finger easily passes between the anterior lip of the uterus and the tumor into the uterine cavity and palpates the continuation of the tumor, which constitutes its leg, 3-4 fingers thick, emerging with a wide base from the posterior wall of the uterus. The posterior lip of the uterine pharynx is fused with the tumor. The uterus itself is enlarged and mobile.