. The diagnosis and treatment of diseases of women. nes in- FLUID MASS BEHIND CERVIX UTERI 265 distinct. This condition is found in those cases where there are repeated sHghthemorrhages. This is a dangerous state of affairs for, though the bleeding hasstopped temporarily, any exertion, or a disturbance of the clots by an examination,may start a severe hemorrhage. c. Some blood has run into the cul-de-sacand a firm roof of fibrinous exudate hasformed above it, shutting it off completelyfrom the general peritoneal cavity. Thiscondition is called pelvic hematocele,and represents the least dangero
. The diagnosis and treatment of diseases of women. nes in- FLUID MASS BEHIND CERVIX UTERI 265 distinct. This condition is found in those cases where there are repeated sHghthemorrhages. This is a dangerous state of affairs for, though the bleeding hasstopped temporarily, any exertion, or a disturbance of the clots by an examination,may start a severe hemorrhage. c. Some blood has run into the cul-de-sacand a firm roof of fibrinous exudate hasformed above it, shutting it off completelyfrom the general peritoneal cavity. Thiscondition is called pelvic hematocele,and represents the least dangerous condi-tion of intra-peritoneal hemorrhage. The physical signs of intraperitonealclotted blood and exudate are practicallythe same as those of inflammatory exudate,with the exception of the is usually but little fever after thefirst forty-eight hours, and in many casesnot much at any time. Of course, if sup-puration comes on later in the blood massthen the ordinary signs of suppuration ap-pear, including fever. The diagnosis of. Fig. 396. An Ovarian Cyst lying back of theuterus. (Aahton—Practice of Gynerology.) a blood mass, rather than aninflammatory mass, must restlargely upon the absence fodecided fever in the presenceof acute symptoms and uponcertain points in the historyand progress, indicating a tubalpregnancy. These points aregiven under tubal pregnancyin chapter xi. 3. Hydrosalphinx low in thecul-de-sac. The prolapsed anddistended tube may be mov-able or adherent. 4. Parovarian Cyst pushingback behind cervix and fillingthe posterior part of the pelvis. 5. Ovarian Cyst in cul-de-sac(Figs. 396, 397). A small ova-rian cyst may easily drop intothe cul-de-sac. If it becomes
Size: 1482px × 1685px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubje, booksubjectgynecology
