The abdomen in its
largest circumference measured 68 inches, and 27 inches from the
ensiform cartilage to the umbilicus. The umbilicus was five
inches in diameter and three inches in length. Eight gallons and
seven pints of fluid were removed by tapping, much remaining. The
whole tumor weighed 135 pounds. Death from exhaustion followed on
the sixth day after the tapping.
Ovarian cysts, of which by far the greater number are of the
glandular variety, form extremely large tumors; ovarian dropsies
of enormous dimensions are recorded repeatedly throughout medical
literature. Among the older writers Ford mentions an instance of
ovarian dropsy from which, by repeated operations, 2786 pints of
water were drawn. Martineau describes a remarkable case of
twenty-five years' duration, in which 80 paracenteses were
performed and 6630 pints of fluid were withdrawn. In one year
alone 495 pints were withdrawn. Tozzetti mentions an ovarian
tumor weighing 150 pounds. Morand speaks of an ovarian cyst from
which, in ten months, 427 pounds of fluid were withdrawn. There
are old records of tubal cysts weighing over 100 pounds. Normand
speaks of an ovary degenerating into a scirrhous mass weighing 55
pounds.
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