. The diagnosis and treatment of diseases of women. tween the layers of the broad-ligament, separating them anddisplacing the adjacent organs. The uterus is pushed far to one side (Fig. 667)and the tube is usually stretched over the cyst, being much lengthened andflattened. The ovary also is flattened out on the surface of the cyst. There ismore or less fixation of the cyst and also of the displaced uterus. They may growunder the peritoneum and separate it from the rectum, bladder or abdominal wall. 2. They produce troublesome symptoms much earlier than ovarian cysts. Thisis due to their being
. The diagnosis and treatment of diseases of women. tween the layers of the broad-ligament, separating them anddisplacing the adjacent organs. The uterus is pushed far to one side (Fig. 667)and the tube is usually stretched over the cyst, being much lengthened andflattened. The ovary also is flattened out on the surface of the cyst. There ismore or less fixation of the cyst and also of the displaced uterus. They may growunder the peritoneum and separate it from the rectum, bladder or abdominal wall. 2. They produce troublesome symptoms much earlier than ovarian cysts. Thisis due to their being confined within the broad-ligament and the pelvis, and hence 730 TUMORS OF THE PAROVARIUM making serious pressure on surrounding organs while they are still small. Forthis reason they cause more pelvic pain and more menstrual disturbance thanovarian cysts of the same size. 3. The papillary cyst, after rupture and spread of its papillary growths, mayproduce a clinical picture very much resembling tubercular peritonitis or chronic ...-? Fig. 667. A Parovarian Cyst (broad-ligament cyst) of the left how it separates the layers of the broad ligament and also displacesthe uterus. (Kelly—Operative Gynecology.) pelvic inflammation. It then usually gives rise to marked ascites, which returnsrepeatedly after tapping. The treatment for broad-ligament tumors is removal, usually by abdominalsection. 731 CHAPTER Xlir. MALFORMATIONS. Points in tlie development of the genital organs are shown in Figs. 668. 669,670, 671, 655 and 656. Anomalies. End of Mill- J\lerian The more common anomalies of development are as follows: 1. The septum between the embryonic vagina and the sinus urogenitalis may-fail to break down, in which case there results imperforate hymen (Figs. 226, 227). 2. More rarely, perfect canalizationdoes not take place in the fused Muller-ian cords (each of which develops acentral canal and becomes a Mullerianduct), resulting in a closed place at so
Size: 2056px × 1216px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubje, booksubjectgynecology
