. Operative gynecology. noeyst; if large,its growth has been slow. If the pa-tient is young, the chances are in favorof a dermoid. Where attended withinflammatory sequelae the dermoid isapt to be extremely painful on pres-sure. The tendency to emaciation mustalso have its weight in making the di-agnosis. Kiistners rule that the der-moid tumor has a remarkable tendencyto float out in front of the uterus andlie just behind the abdominal wall wasfound in five out of twelve of my cases,and is therefore a valuable diagnostic point. In one case the diagnosis wasunexpectedly made by a vaginal punctur
. Operative gynecology. noeyst; if large,its growth has been slow. If the pa-tient is young, the chances are in favorof a dermoid. Where attended withinflammatory sequelae the dermoid isapt to be extremely painful on pres-sure. The tendency to emaciation mustalso have its weight in making the di-agnosis. Kiistners rule that the der-moid tumor has a remarkable tendencyto float out in front of the uterus andlie just behind the abdominal wall wasfound in five out of twelve of my cases,and is therefore a valuable diagnostic point. In one case the diagnosis wasunexpectedly made by a vaginal puncture under the impression that thefluctuating sac choking the pelvis and bulging into the vagina was a pelvicabscess. The discharge of fatty matter at once revealed the true nature ofthe case. In small monocystic tumors not rising out of the pelvis the dermoid tumormust always enter into the list for a diiferential diagnosis. When the tumor isadherent and there is a history of pelvic pains lasting some years, and the walls. Fig. 424.—Eight Dekmoid Cyst (/>) with Exten-sive Adhesions. Note the displacement and atrophy of the righttuhe, and the adhesion to and an£;ulation of the lefttube. Feb. 2,1895. No. 584. ?^ natural size.
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
