Diseases of the ovaries : their diagnosis and treatment . auses LOCAL EFFECTS OF OVARIAN TUMOURS. 87 irritation of the vagina and rectum. Mounting higher withaugmenting bulk, the large intestine, according to side, getsjammed, and the faecal matter impacted; the uterus is dis-placed, thrust down, or to one or the other side, retrovertedor anteverted; and, as the case advances, is dragged up by itsattachments so as to be out of reach of the finger in thevagina. Its form is distorted, and its functions rendered dim-cult and painful, though not absolutely impossible ; for, as ithas been already s
Diseases of the ovaries : their diagnosis and treatment . auses LOCAL EFFECTS OF OVARIAN TUMOURS. 87 irritation of the vagina and rectum. Mounting higher withaugmenting bulk, the large intestine, according to side, getsjammed, and the faecal matter impacted; the uterus is dis-placed, thrust down, or to one or the other side, retrovertedor anteverted; and, as the case advances, is dragged up by itsattachments so as to be out of reach of the finger in thevagina. Its form is distorted, and its functions rendered dim-cult and painful, though not absolutely impossible ; for, as ithas been already seen, there are many coincident cases of evensuccessful pregnancy. The urinary organs seldom escape atany stage of the disease. When the pressure is on the bladder,micturition is either troublesome, impossible, or distressinglyurgent; with strain upon, or pinching of the ureters, theremay be stoppage of the flow of urine, or suspension of itssecretion, or poisonous reflux into the system. Even thekidneys may be flattened and almost annihilated. The vital. organs in the chest suffer in many ways, and the chest symp-toms of oppressed action are often among the most tormenting, 88 EFFECT OF OVARIAN TUMOURS ON THE THORAX. (Edema, ascites, and pleural effusion, especially on the rightside, occasion the greatest aggravation of misery; and theconsequent distensions of the ribs and spine are so indisposedto readjustment, as to amount to serious hindrance to recoveryafter tapping. More than once the ribs, which have beenthrown out like a fan, with the intercostal structures over-stretched, have refused to return to their normal condition ;the lungs, which had been confined to a very small space, hadso far lost their resiliency that air could not easily expandthem again; or the pleural cavities, filled with fluid, have notbeen freed by absorption, and the patient has died from wantof breathing power. Occasionally the same difficulty has beenmet with after ovariotomy, and a patient in whom
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectgynecology, bookyear1
