Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . yoma, having thought in both instancesthat I was dealing with malignant disease. There wereno peritoneal adhesions in this case, but whether there hadbeen a nodular parametritis I could not say. The adherenceof the left ureter was a point favouring the idea of aninflammatory process. The duct was injured, and a uretericfistula developed. The following figures convey a goodidea of the naked-eye and microscopical characters of thegrowth (Figs. 208, 209, 210, 211). A section of therect
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . yoma, having thought in both instancesthat I was dealing with malignant disease. There wereno peritoneal adhesions in this case, but whether there hadbeen a nodular parametritis I could not say. The adherenceof the left ureter was a point favouring the idea of aninflammatory process. The duct was injured, and a uretericfistula developed. The following figures convey a goodidea of the naked-eye and microscopical characters of thegrowth (Figs. 208, 209, 210, 211). A section of therectal portion of the growth stained by van Giesonsmethod is seen on page 357, Fig. 212. This patient 2 A 354 EXTRAUTERINE ADENOMYOMA chap. recovered from the operation and put on two stones inweight, but she developed a ureteric fistula for whichsubsequent treatment by nephrectomy was necessary, liga-tion of the ureter having been tried without success (seepage 551). The patient is now in good health. In a case of adenomyoma of the body of the uterus inwhich I also removed a segment of rectum it was afterwards. R)uch of Douglasdisplaced upwards VaginalR)stenor fornix Fig. 208.—The Authors second case of adenomyoma of the recto-genital view of sagittal section. found that the induration in the bowel-wall contained jjoadenomyomatous glands. The case is recorded on page 33-34. At the same meeting (July 1914) of theObstetric and Gynaecological Section of the Royal Societyof Medicine, Clifford White mentioned two cases whichhad occurred in the practice of Herbert Spencer andBlacker respectively. White had examined both casesunder anaesthesia and had removed portions of the growths OF THE RECTO-GENITAL SPACE 355
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