The case of lithopädion four years ago

Patient S., 45 years old, peasant, married, 15/Ѵ 1929, was admitted to the gynecological department with complaints of severe pain and a tumor in the lower abdomen, more on the right. The first monthly periods on the 17th year, were established immediately, for 4 days, every three to four weeks, are abundant and painful. The patient suffered from catarrh of the gastrointestinal tract and occasionally cuts when urinating. She began to live a sexual life at the age of 24 and does not note any deviations from the norm. The type of menstruation after marriage has not changed. I got pregnant five times. The first pregnancy was at the age of 26, the last one was 6 years ago; all deliveries are urgent, there were no abortions. During the last birth, she lay in bed for about two weeks, had a fever and bleeding. Since then, menstruation has become more abundant and more frequent. Four years ago, there was a delay in menstruation for about three months, the stomach was growing, and the patient suspected pregnancy. After lifting the weight, there were sudden severe cutting pains, vomiting; this lasted for two weeks. Then the stomach decreased somewhat, and the patient felt much better. At times, there were still abdominal pains. Three months later, there were sudden sharp pains again, general weakness, bleeding, which lasted about a week. The patient took medication and all the phenomena subsided. Her monthly periods were established relatively normally, and the patient considered herself almost recovered. Over the past five weeks, the pain has increased so much that the patient was forced to go to bed and, seeing no relief, turned to the hospital for help.