. The diagnosis and treatment of diseases of women. uterus. 5. Ovarian Cyst growing towardthe cervix (Fig. 389). An ovariancyst which has been fixed in thepelvis by inflammation may growin this direction. It presents thesame characteristics as a parovariancyst complicated by inflammation,except that fluctuation is not souniform throughout the may be firm portions repre-senting thick septa or small areolarcysts. 6. Cystic Fibroid. This presentsthe ordinary characteristics of a fib-roid, except that there is a point offluctuation and there may be sometenderness. 7. Uterus containing f
. The diagnosis and treatment of diseases of women. uterus. 5. Ovarian Cyst growing towardthe cervix (Fig. 389). An ovariancyst which has been fixed in thepelvis by inflammation may growin this direction. It presents thesame characteristics as a parovariancyst complicated by inflammation,except that fluctuation is not souniform throughout the may be firm portions repre-senting thick septa or small areolarcysts. 6. Cystic Fibroid. This presentsthe ordinary characteristics of a fib-roid, except that there is a point offluctuation and there may be sometenderness. 7. Uterus containing fluid anddisplaced to one side. This fluid in the uterus may be due to pregnancy, normal or abnormal, or to a cystic fibroid ortopus in the uterus or to blood in the uterus. 8. Rudimentary Horn of Uterus, containing blood (Fig. 390) or other fluid. Theremay be pregnancy in such a horn (Fig. 408). 9. Vaginal Cyst. Vaginal cysts may come from remnants of the Wolfian duct orfrom aberrant gland structures in the vaginal wall. They protrude into the va-. Fig. Uterus. VULt/A. Hematometra in a Rudimentary Horn of(Montgomery—Pracliciil Gynecology.) 262 GYNECOLOGIC DIAGNOSIS gina more or less, are small and rounded, have fluctuation throughout with a thinwall and are not tender unless complicated. They are fixed in the lower part of thepelvis and lie just beneath the vaginal wall, to which they are closely attached. 10. Ureter Greatly Dilated. The fluid in the dilated ureter may be urine (hydro-ureter) or pus (pyo-ureter). The upper part of the ureter and the kidney is usuallydilated also (hydronephrosis, pyonephrosis). A fluctuating swelling is found in
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