. Cyclopædia of obstetrics and gynecology. canzoni, Beitrage, 5, p. 83. ^ Compare Scanzoni, 1. c. and Virchovv, Geschwiilste, III., p. 170. ^ Monatsschrift fiii- Geburtskunde, XV., p. 174. * London Obstetric. Transactions, 1872, p. 233.^ Beitrage zur Gynakologie, I., p. 3. * Monatssclirift fiir Geburtskunde, 34, p. 410. Clinical Memoirs on Diseases of Women, Dublin, 1883, p. 97.^ De la valeur de Ihyst^rotomie, etc., Paris, 1875, p. 150. Beitrage zur Geburtshalfe, II., p. my paper on Carcinoma Uteri, Volkmanns Clinical Lectures. 216 NEW GROWTHS OF TIIP: UTERUS. from a broad base and whi


. Cyclopædia of obstetrics and gynecology. canzoni, Beitrage, 5, p. 83. ^ Compare Scanzoni, 1. c. and Virchovv, Geschwiilste, III., p. 170. ^ Monatsschrift fiii- Geburtskunde, XV., p. 174. * London Obstetric. Transactions, 1872, p. 233.^ Beitrage zur Gynakologie, I., p. 3. * Monatssclirift fiir Geburtskunde, 34, p. 410. Clinical Memoirs on Diseases of Women, Dublin, 1883, p. 97.^ De la valeur de Ihyst^rotomie, etc., Paris, 1875, p. 150. Beitrage zur Geburtshalfe, II., p. my paper on Carcinoma Uteri, Volkmanns Clinical Lectures. 216 NEW GROWTHS OF TIIP: UTERUS. from a broad base and which, starting generally from the posterior wall,develop in a downward direction so as to become retro-uterine, or even actu-ally retro-vaginal, pushing the cul-de-sac of Douglas before thcni. Inconsequence of their location and size, these tumors are immovably fixedin the pelvis, although they need not always have become adherent to thewalls of this cavity. They constitute the Avcdged-in, the incarcerated, fibro-mata previously alluded Fig 24.—Cross-Section through an Inverted Uterus with Fibroid of the Fundus, (AfterMcClintock.) Similar conditions may obtain in cases of large sul)-serous tumors, ori-ginating on the lateral borders of the uterus, and growing between thefolds of the broad ligament, so-called intra-ligamentous fibromata. Sub-serous tumors growing from the superior parts of the uterus, and largesub-mucous growths completely filling up the uterus, can only become in-carcerated in the pelvis in case either the uterus or the tumors have pre-viously contracted adhesions as the result of perimetritic processes. In COURSE, SYMPTOMS AND COMPLICATIONS. 21 7 either of these events the most varied symptoms of pressure with refer-ence to the pelvic viscera may be developed. In the first place and most frequently this pressure manifests itself bypain or other abnormal sensations (tingling, etc.) in the lower extremi-ties, as has already been alluded to. I have neither


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