Hæmatoma of the vagina occurring during labour

Abstract

THE case which I have the pleasure of bringing before the Academy occurred in the p~actice of the Rotunda Hospital last year, E. B, aged 23, 1-para, carne into labour on the evening of the 23rd Yeb.~ 1895. She was attended bythe pupils of the hospital during the night, who noticed nothing unusual till 10 a.m. the following m_~~rning~ when the left labium ma]us was observed to be swollen. As the swelling was increasing, the Extern-Assistant~ Dr. Murphy, was summormd~ aud he, recognisiug the case as one of hmmatoma, sent f0r me, as the Assistant on duty. On examination, I saw a large swelling, bluish in colour, occupying the L. ischio-rectal reg~on, extenting up the~ L. labium, distending the perineum, and bulging into the vagina, The co r,tour: of the tumour was very uniform~ and presented the appearance of a foetal head, greatly distending the part. The vulva was pushed over to the right side. The child's head was presenting, and about midway in the pelvis.