Gynecological diagnosis . umor of soft consist-ency, the size of a Florida orange, in the left epigastric region. Theother was a patient operated upon by me October 23, 1896. Inthis case there was a somewhat smaller tumor of harder consistencyin the right rectus muscle, just below the level of the umbilicus. LARGE OVARIAN TUMORS 311 Both were entirely extraperitoneal and were pronounced by the pathologist to be fibromyoma. Cysts of the urachus develop in the normally impervious cordwhich runs from the bladder to the umbilicus. Like the bladderitself, a cyst of the urachus represents a persiste
Gynecological diagnosis . umor of soft consist-ency, the size of a Florida orange, in the left epigastric region. Theother was a patient operated upon by me October 23, 1896. Inthis case there was a somewhat smaller tumor of harder consistencyin the right rectus muscle, just below the level of the umbilicus. LARGE OVARIAN TUMORS 311 Both were entirely extraperitoneal and were pronounced by the pathologist to be fibromyoma. Cysts of the urachus develop in the normally impervious cordwhich runs from the bladder to the umbilicus. Like the bladderitself, a cyst of the urachus represents a persistent portion of theallantois. A cyst as large as the urinary bladder, or Larger, mayform in the course of the urachus. Such a cyst is situated betweenthe fascia and the peritoneum on the inside of the abdominalparietes, in the median line. It is to be differentiated from anovarian cyst by its absence of connection with the uterus or ii-appendages, by the greater area in the abdomen of intestinal Formerly dull,now tympanitic. Change in line of tlatiirss Fig. 133.—The Same as Fig. 132, Lateral Position. Showing Change in Situationof Areas of Dullness and Tympany. resonance, and by the absence of the other signs and Bymptomsof ovarian cyst. Phantom Tumor.—Phantom tumor occurs occasionally inhysterical women who have the power of contracting the musclesof the abdomen so as to form a mass thai simulates an abdominaltumor. The muscular contraction can be overcome sometimesin these cases by firm pressure of the hands and the tumor thendisappears. There is exaggerated tympany over the tumor because the intestines, held by the muscles, form the tumor. Inmany cases it is impossible to make an exact diagnosis withoutetherization, and accordingly it is well to etherize a doubtfulof phantom tumor or tumor in the abdominal wall. 6. Cyst of the Pancreas. The situation of the tumor itimportance in differentiating cysi of the pancreas from ovariancyst. The former develops under themarginof th
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectwomen, bookyear1910
