Excerpt from The Australasian Medical Gazette, Vol. 22: The Journal of the Australasian Branches of the British Medical Association; From January to December, 1903
The abdomen was uniformly distended, with bulged ﬂanks, and bore a 4} inch middle line cicatrix below the umbilicus, the lower 2 inches being unduly wide and the seat of an incisional hernia. Fluctuation and ﬂuid thrill all over abdomen, with dulness in ﬂanks becoming resonant on changed position. Mensuration, circumferentially at umbilicus 35} inches.
Bimanually, uterus adpressed to symphysis, enlarged, fixed; pelvis choked with fixed, bilateral, hard, non-sensitive nodular mass, which could be indefinitely defined superiorly through the hernial orifice. Heart, liver and kidneys normal.
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