Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Fig. 200.— Adenomyoma of ivctn-vaginal septum.(After Fath, Gjnak., 1903, vol. i. S. 628.) 36 EXTRAUTERINE ADENOMYOMA chap. Case 7. Kleinhans in 1904^ recorded the case of a patient44 years of age, who had had one child. There had beena browfiish vaginal discharge for nine months. The periodswere reguhir, and lasted four to ten days ; they were profusebut painless. In the posterior fornix was a papuliferousgrowth emitting a brown discharge (see Figs. 201 and 202) ;. Figs.
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Fig. 200.— Adenomyoma of ivctn-vaginal septum.(After Fath, Gjnak., 1903, vol. i. S. 628.) 36 EXTRAUTERINE ADENOMYOMA chap. Case 7. Kleinhans in 1904^ recorded the case of a patient44 years of age, who had had one child. There had beena browfiish vaginal discharge for nine months. The periodswere reguhir, and lasted four to ten days ; they were profusebut painless. In the posterior fornix was a papuliferousgrowth emitting a brown discharge (see Figs. 201 and 202) ;. Figs. 201 and 202.—Kleinhans case of adenomyoma of the recto-genital space.(Taf. +2^ Taf 5^, Geb. u. Gyn. Bd. Hi.) the neighbouring vaginal wall was thickened. The uteruswas normal in shape but enlarged. Douglass pouch waspushed up by a thick mass, which was very clearly feltper rectmn. Wertheims hysterectomy was performed on March lo,1903. The rectum and cervix were fused together by an 1 Bcitrag zu Lehre von den Adenomyomen des vveiblichen Genitaltraktes, Geb., 1904, Bd. lii. S. 266. OF THE RECTO-GENITAL SPACE 337 intervening mass, which also elevated the paracervical induration did not prevent the separationfrom the rectum being carried out by blunt the patient left hospital, examination revealed athickening at the point of separation of the growth. Thedrawing (Fig. 203) gives a clear indication of how the papil-liferous vaginal surface was produced. Kleinhans regardedthis infiltrating growthas arising from the vaginal glands,
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecologyoperative
