Annals of surgery . ized. Un-der the microscope, in the cyst wall, one could see a meshwork of fibrous connective tissue; considerable non-striatedmuscular fibres appeared. Some tubercles with giant cellswere visible; also some fat. Sparsely scattered through thecyst wall was some substance which appeared to me like cal-careous deposit. On the interior of the urachal cyst wall Icould not make out the epithelium with sufficient distinctness CYSTS OF THE URACHUS. 349 to describe it. The walls also showed an extra number of largeblood vessels well filled. I rather thought we would find theperiton
Annals of surgery . ized. Un-der the microscope, in the cyst wall, one could see a meshwork of fibrous connective tissue; considerable non-striatedmuscular fibres appeared. Some tubercles with giant cellswere visible; also some fat. Sparsely scattered through thecyst wall was some substance which appeared to me like cal-careous deposit. On the interior of the urachal cyst wall Icould not make out the epithelium with sufficient distinctness CYSTS OF THE URACHUS. 349 to describe it. The walls also showed an extra number of largeblood vessels well filled. I rather thought we would find theperitoneum between the exterior of the urachal cyst wall andthe Fallopian tube. But I could find nothing definite. Thecyst \vall and the tubal wail had so intimately blended that allI could see definitely was a line of connective tissue. Now, bystripping off the urachal cyst wall from the tubal wall in manyplaces a shiny surface could be plainly seen with the nakedeye. This appeared to me to be the peritoneum. At least, in. _ \^^ Fig. 3.—A Urachal Cyst Which Dips Into the Pelvis. a. Bladder. b. Cyst which extends from the tloor of the pelvis up to X, the end unsettled point is the relation or existence of the peritoneum between x and shows the diaphragm on which the intestine rest. The dotted line is to represent the peritoneum. any other place, under ordinary conditions, I should call itperitoneum. The cyst wall would not strip from the tube in allplaces alike, but in patches. It had local adhesions. Again, after carefully examining the ovary, the best I could 3S(^ F. B. ROBINSON. make of it was that the cyst wall partially went over it. Themain part of the ovary seemed to be covered by its naturalperitoneum, while the urachal cyst could be found on part ofit. A Graafian follicle had just ruptured, and at the bottomof its cavity was plainly visible the corpus luteum but yetslightly convoluted. Hence, it is my opinion in this case thatthe urachal cyst wall is supe
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
