. Operative gynecology. Fig. 422.—Left Dermoid Cyst of theOvary with a Long Pedicle. The cyst (D) lay in the median lineand could easily be pulled high up in theabdomen or displaced into either flank inthe position of tlie dotted lines. No. 2554. DERMOID CYSTS OF THE OVARY. 2Y9 and seems inherent even in the smallest cysts, which are often found matted ina dense mass of adhesions; on the contrary, however, I have seen a cyst as largeas a mans head entirely free from adhesions. I found eight out of nineteencases not at all adherent, while the other eleven were more or less fixed byadhesions var
. Operative gynecology. Fig. 422.—Left Dermoid Cyst of theOvary with a Long Pedicle. The cyst (D) lay in the median lineand could easily be pulled high up in theabdomen or displaced into either flank inthe position of tlie dotted lines. No. 2554. DERMOID CYSTS OF THE OVARY. 2Y9 and seems inherent even in the smallest cysts, which are often found matted ina dense mass of adhesions; on the contrary, however, I have seen a cyst as largeas a mans head entirely free from adhesions. I found eight out of nineteencases not at all adherent, while the other eleven were more or less fixed byadhesions varying from the slight velamentous attachment to the densest fibrousunion. Owing to this liability to provoke attacks of peritonitis involving the im-mediately surrounding structures, inflammatory disease involving the other ovaryand tube is frequently found. This generally consists in adhesions bindingdown the tube and ovary, often associated with hydrosalpinx (see Fig. 423).. i. 423.—Complicated Dermoid Cyst ok the Kight Ovary, with Dense Adhesions to the EntireBreadth of the Omentum and Displacement of the Right Tube and Round Ligament. The uterus is dragged up (ascensus uteri), and on the left side there is a large hydrosalpin.\. No. 3120. Like the ovarian cystoma, the dermoid cyst may become almost completelydetached from its natural vascular supply and depend for its existence upon theadhesions formed between it and other organs (see Fig. 4-24). I have not been able to note anything characteristic in the menstrual historybeyond the fact that sixteen of the nineteen cases complained of pain, generallysevere. In three non-adlierent cases there was no pain at all, but a distressingbearing-down sensation in the lower abdomen. About half of all the cases complained of vesical distress varyingfrom a frequent micturition to a severe tenesmus. A marked emaciation isoften apparent. One woman lost 40 pounds in six months, and during this timethe abdomen reache
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
