A textbook of obstetrics (1899) (14774582431)

Congenital cystic elephantiasis. In this disease there is a great overgrowth of the subcutaneous connective tissue all over the body, and at intervals in the hypertrophied tissue there are cysts varying in size. Malformations of a grave character are commonly associated with the disease. On this account, and because the subjects of the disease have all been born prematurely, the infants scarcely ever survive their birth. One child, however, lived thirty minutes and another was twenty months old when the case was reported. Ballantyne has collected more than eighteen cases of this very rare disease.
Identifier: textbt00hirs (find matches)
Title: A textbook of obstetrics
Year: 1899 (1890s)
Authors: Hirst, Barton Cooke, 1861-1935
Subjects: Obstetrics
Publisher: Philadelphia : Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library



Text Appearing Before Image:
d. viii, S. 500. 1886. I ransa< tins of Meeting (.i.if.-. s. 401. 3 (bid., Bd. X.1 German Naturalists ami Physicians Berlin. Virchows Archiv, Bd. c 256 THE DISEASES OF THE FETUS. 165 Anasarca.—General anasarca of the fetus is occasionally seen.The distention of the fetal skin may reach such dimensions thatthe expulsion of the child becomes exceedingly difficult.1 Suchchildren are, however, usually born prematurely from the fourthto the eighth month, and are, as a rule, still-born, although casesare recorded in which death only occurred some little time afterbirth. The causes of this condition must be various. It hasbeen attributed to anasarca of the mother, to syphilis, to absenceof the thoracic duct ; 2 in one instance to leukemia of the fetus,3in another to obstruction of the umbilical vein.4 The serousinfiltration of the skin is usually accompanied by a collection offluid in the abdominal and pleural cavities, and the membranesand placenta are often markedly edematous.
Text Appearing After Image:
Fig. 119.—Congenital cystic elephantiasis. Congenital Cystic Elephantiasis.—In this disease there is agreat overgrowth of the subcutaneous connective tissue all overthe body, and at intervals in the hvpertrophied tissue there arecysts varying in size. Malformations of a grave character arecommonly associated with the disease. On this account, andbecause the subjects of the disease have all been born prema-turely, the infants scarcely ever survive their birth. One child,however, lived thirty minutes and another was twenty months 1 Keiller, Edinburgh Med. and Sur^. lour., April, 1S55. 2 The Diseases of the Fetus, Ballantyne, Edinburgh, iNu5, 2 vols. Com-plete bibliography. 3 Klebs, Prater med. Wochens., 1S7S, No. 49. 4 Breslauer Klin.,- Bd. i, S. 260. l66 PREGNANCY. old when the case was reported. Ballantyne ) has collected morethan eighteen cases of this very rare disease. Spontaneous Fractures in Utero.—The fetal bones may bebroken by external violence, or a child may be born pr