Diseases of the ovaries : their diagnosis and treatment . HE lUfiHT KIDNET is pedunculate, or can be separated from the principal part ofthe uterus, or when the whole of the fundus and body of theuterus, with or without the ovaries, can be removed, leavingthe cervix and its vaginal attachment uninjured, the operativequestion is a different one, and recent experience is leading to amore encouraging view of the surgical treatment of such cases. Diagnosis of Ovarian from Renal Cysts and Tumours. The diagnosis of ovarian tumours from cystic growths andenlargements of the kidneys is made repeatedly
Diseases of the ovaries : their diagnosis and treatment . HE lUfiHT KIDNET is pedunculate, or can be separated from the principal part ofthe uterus, or when the whole of the fundus and body of theuterus, with or without the ovaries, can be removed, leavingthe cervix and its vaginal attachment uninjured, the operativequestion is a different one, and recent experience is leading to amore encouraging view of the surgical treatment of such cases. Diagnosis of Ovarian from Renal Cysts and Tumours. The diagnosis of ovarian tumours from cystic growths andenlargements of the kidneys is made repeatedly, in hospital andprivate practice, with a readiness and certainty which render amistake quite an exception in a large number of accurateopinions. But exceptions still occur ; and men of great ex-perience must occasionally admit that an exact diagnosis isimpossible. In other cases, it is only after an exploratory orincomplete operation, or after the death of the patient, thata mistake is discovered, and the means of avoiding it forthe future are The first case of the kind which came under my care wasone of Soft Cancer of the Rigid Kidney in a girl only four years IN A CHILI) FOLK YEABS OLD. 203 old. She was sent up from the country to me, in 1862, sup-posed to be suffering from ovarian disease. Her appearance isvery well shown in the woodcut on the opposite page, copiedfrom a photograph, taken by Dr. Wright whilst she was inthe Samaritan Hospital. The diagnosis in this case was made without much difficulty,although the urine was quite normal. The growth was ex-tremely rapid ; hardly six months from its commencement toits fatal termination—when the diseased mass weighed betweensixteen and seventeen pounds. The tumour occupied the wholeof the right side of the abdomen, bulging backwards in theright loin. It was uniformly elastic, but no fluctuation couldbe detected. The intestines were pushed downwards, and tothe left side. The rapid growth, and the absence of fluctua-
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectgynecology, bookyear1
