. Cyclopædia of obstetrics and gynecology. other cases, in which there are no ad-hesions, the immobility is only apparent; and firm pressure through thevagina may force the growth out of the pelvis into the abdominal cavity Virchow Geschwiilste, vol. HI., p. 161. ^ Transactions of the London Obstet. Soc, vol. II., p. 34. ^Pathol. Anatomie 3d edition, vol. III., p. 482. 172 NEW GROWTHS OF THE UTERUS. (provided the pedicle be long enough), thus often relieving grave symp-toms of strangulation. These lodgments take place most frequentlyin the case of a tumor Avith a long pedicle, which allows the
. Cyclopædia of obstetrics and gynecology. other cases, in which there are no ad-hesions, the immobility is only apparent; and firm pressure through thevagina may force the growth out of the pelvis into the abdominal cavity Virchow Geschwiilste, vol. HI., p. 161. ^ Transactions of the London Obstet. Soc, vol. II., p. 34. ^Pathol. Anatomie 3d edition, vol. III., p. 482. 172 NEW GROWTHS OF THE UTERUS. (provided the pedicle be long enough), thus often relieving grave symp-toms of strangulation. These lodgments take place most frequentlyin the case of a tumor Avith a long pedicle, which allows the growth toobey the laws of gravity and to sink into the pelvis. So that when wefind a tumor with considerable mobility in the abdominal cavity, providedit be not of great size, we may conclude that it has a rather short attach-ment. The greater or less mobility of these new growths often occa-sions a number of the most varying symptoms, which will be consideredlater. But it seems also as though a slight degree of local peritonitis, lead-. FiG. 5.—Large Subserous Myoma of the Uterus. (After Spencer Wells, ) ing to adhesions between the tumor and neighboring organs, were easilycaused thereby. Thus adhesions of sub-serous fibroids with the anteriorabdominal Avall and the mass of the intestines are sometimes seen, whichgive rise to the most painful symptoms. The adhesions to neighboringorgans may lead to an increased growth of the tumor, owing to the com-munications established with the vessels of the omentum, etc. ( also the cases observed by Hofmeier at Schroders clinic.) Ab-scesses of considerable size even may grow into the tumor from the pointof adhesion. (Chambers,^ Vogel, Eokitansky, and Virchow, loc. cit.) Theadhesions may even so surround the tumor as to cause an apparent or realseparation from the uterus itself. (Rokitansk}^, Virchow.) The tumormay become adherent to a movable organ, as the intestine, or to one ^ Zeitschr. f. Geburtsh. u. Gynakol., vol.
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