June 1, 1888. Miss A. W., aged thirty, Irish house-maid. Pelvic tumor, about which opinion varied. Abdomen resembled pregnancy of nine months. Her friends refused to go upon the street with her because of her appearance. She consulted several surgeons, and some declined to operate. The tumor could not be moved, seemed to fill the pelvic cavity. Its origin could not be traced; tumor was very hard. It being immovable, very hard and painful, were the reasons why one surgeon could not operate. No vaginal examination was made by me. She came to my office because she had heard that a local examination would not be made. She dates her discovery of it to five years ago. For two years she has felt much pain in the pelvis. Swelling of the pit of the stomach below the abdomen became distended. Feet oedematous. Constant headache; cold milk causes pain. Cannot take cold things; everything must be warm. Nausea and vomiting. Everything eaten makes her sick and causes vomiting, vomiting after every meal. Constipation, no desire for stool for many days. Always feels a constriction about the waist from pressure upwards of the tumor. Distension in stomach after eating so little. Menses regular, with cramping pain, has always relieved it by whiskey. Starts suddenly from a noise. Restless, and sleeps badly. Teeth decayed young; they are dark coloured. She says she felt a lump in the right side as large as a child’s head, which was the first she felt of it, about four years ago, it was then very hard. Pain in this lump in the side has been felt from time to time. Feet burn; must remove the shoes to cool them. She says feet feel like there was mustard on them. Lycop. cm.
July 23d. Up to a few days ago she had no vomiting, and the pain is much better. She is again feeling worse. Lycopodium mm.
August 2nd. Called to see if medicine was expected to make her worse. S. L.
August 9th. Called to say the aggravations had passed off and that she was much better.
September 25th. Continued to improve up to a few days ago. Symptoms returning. Vomiting after eating and pain in the stomach. Lycop. mm.
October 28th. Symptoms all passed away until a few days ago the pain came back in the pylorus, and again she received Lycopodium mm.
November 27th. No symptoms. S. L.
December 13th. Reports no symptoms. S. L.
January 7th. The tumor has diminished some. No bloating of feet. Can move the tumor and can discern that it belongs to the right side of the pelvis.
January 26th. Symptoms returning. Lycopodium mm. February 16th. She is growing smaller about the abdomen and gaining in flesh and colour.
March 7th. Improving. No symptoms.
March 28th. Still improving.
April 25th. Stomach symptoms returning. Lycopodium mm.
June 3rd. Has been entirely free from symptoms until recently. Feet swelling again; cannot drink water nor cold milk; cannot take cold things; everything must be warm. Headache in forehead and eyes; pain in lumbar region; bowels constipated; now goes three or four days; feet burn. Lycopodium mm.
June 15th. Symptoms all better.
August 15th. All symptoms have returned. She returns when the symptoms return. Lycopodium 2 mm.
October 7th. Reports herself cured. The tumor can be discovered by close examination. She had not been able to find it, therefore she thought she was cured. She remarked that the last medicine did her most good of all the medicine taken. She remains in perfect health.