Pathology and treatment of diseases of women . neum against the dangers of an operation. As long as the tumors have not yet grown too large, a certain degreeof mobility in the abdominal cavity is guaranteed them with a goodpedicle. This mobility makes it possible that the tumors turn aroundtheir axis during the change of position of the bearer or one extreme ex-ertion and so forth, whereby naturally the pedicle must suffer a torsion. THE DISEASES OF THE OVARIES 399 This event, which is not rare, is of extraordinary importance for the fur-ther fate of the tumor and its bearer. A compression of
Pathology and treatment of diseases of women . neum against the dangers of an operation. As long as the tumors have not yet grown too large, a certain degreeof mobility in the abdominal cavity is guaranteed them with a goodpedicle. This mobility makes it possible that the tumors turn aroundtheir axis during the change of position of the bearer or one extreme ex-ertion and so forth, whereby naturally the pedicle must suffer a torsion. THE DISEASES OF THE OVARIES 399 This event, which is not rare, is of extraordinary importance for the fur-ther fate of the tumor and its bearer. A compression of the bloodvesselsquite naturally results from the torsion of the pedicle; at first of thevenous system, while the arterial conveyance is still maintained. Theresult of this is a rapidly increasing stasis in the tumor, which mayenlarge its circumference rapidly to twice its size or more. Finally, thearterial blood-current is also interrupted by a continuation of the torsion,and thus the tumor is entirely cut off from the circulation. The result. Fig. 180.—Torsion of Pedicle of an Ovarian Tumor. Marked thickening of the liga-mentum ovarii proprium and the tube. (Authors preparation.) of this is a necrobiosis, provided micro-organisms are absent; its interiorsoftens and breaks down, and thus, for instance, large cysts, formed bysoftening of the tissues, occur in solid tumors. Such a cyst with a tor-sion pedicle is dark-bluish as a result of the enormous stasis, the ligamen-tum ovarii proprium may swell up to the thickness of a thumb (see ), as likewise also the tube drawn into the torsion. The surface ofsuch ovarian tumors with twisted pedicle loses rapidly its glitteringbrightness, as the superficial epithelium perishes. The tumor acts onthe peritoneum as a very irritating foreign body, which causes soon acircumscribed, fibrinous peritonitis, and becomes gradually enclosed fromall sides by adhesions. If they are very firm and extensive new vessels 400 DISEASES OF WOMEN ma
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Keywords: ., bookcentury1900, bookdecade1, booksubjectgynecology, bookyear1912
