Abdominal surgery . Fig 2. Fig 3. Diagrams showing development of areas of dulness in ascites {Fig. 2), and in ovarian-tumour (Fig. 3J. Darker shading indicates an earlier stage of disease. the umbilicus. Vaginal examination reveals close or remoteconnection with the uterus, with displacement, and sometimesenlargement, of that organ. Parovarian Cysts.—This variety of growth has the characterof the preceding, as to dulness in front and resonance in the 40 DIAGNOSIS OF ABDOMINAL TUMOURS. flanks. The cyst is thin-walled, and fluctuation is very the vagina it may frequently be palpated,
Abdominal surgery . Fig 2. Fig 3. Diagrams showing development of areas of dulness in ascites {Fig. 2), and in ovarian-tumour (Fig. 3J. Darker shading indicates an earlier stage of disease. the umbilicus. Vaginal examination reveals close or remoteconnection with the uterus, with displacement, and sometimesenlargement, of that organ. Parovarian Cysts.—This variety of growth has the characterof the preceding, as to dulness in front and resonance in the 40 DIAGNOSIS OF ABDOMINAL TUMOURS. flanks. The cyst is thin-walled, and fluctuation is very the vagina it may frequently be palpated, when its thin walland connection with the uterus through the broad ligament willconfirm the diagnosis. Papillomatous Cysts of the Broad Ligament.—These are notusually diagnosed from ovarian cystomata. They are firmlyfixed low down in the pelvis, and are frequently closely incor-porated with the uterus. One or more large cysts, not oftensymmetrical, and with sulci between them, occupy the abdo-men : by vaginal e
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