Page:A Contribution to the Pathology of Phlegmasia Dolens.djvu/19

Rh Dolens. In all these cases the phlebitis commenced with pain in the situation of the iliac and femoral veins; but in the second, the inflammation, instead of pursuing the course of the femoral vein down the thigh, appeared to have been arrested at the junction of the saphena interna with this vein, and to have proceeded along the trunk and branches of the superficial vessel to the foot. All these affections of the lower extremities which I have witnessed, I am disposed to regard as varieties of the same disease, and to attribute the absence of general swelling of the limbs to the slight degree of inflammation and obstruction which existed in the iliac and femoral veins.

Case III.—Mrs. Smith, 36, Brownlow Street, was delivered of her third child on the 17th Nov. 1828, after a natural labour. She had enjoyed a good state of health during her pregnancy, and every thing proceeded favourably till the eighth day after her confinement, when she was attacked with pain in the left inguinal region, which increased in violence for three or four days, and was accompanied with slight symptoms of fever.

Nov. 28th. Hypogastrium and left iliac region painful on pressure; pain in the direction of the great vessels from the groin downwards, terminating at the point where they pierce the triceps muscle; no perceptible swelling. Pulse eighty-two and full; tongue white; thirst.