. The diagnosis and treatment of diseases of women. Fig. .387. Hematoma of Right Broad Gynecologij.) (Montgomery- 3. Hydrosalpinx coming low in thepelvis. The cystic mass runs up into thetubal region. It is somewhat elongatedand sausage-shaped and extends from theupper angle of the uterus to the pelvicwall. It fluctuates freely and gives theimpression of a thin-walled cyst. Fre-quently some induration from exudate oradhesions, may be felt. It is not tenderordinarily. It is somewhat movable,though not as much so as a small pedicu-lated ovarian tumor. It is attached tothe uter
. The diagnosis and treatment of diseases of women. Fig. .387. Hematoma of Right Broad Gynecologij.) (Montgomery- 3. Hydrosalpinx coming low in thepelvis. The cystic mass runs up into thetubal region. It is somewhat elongatedand sausage-shaped and extends from theupper angle of the uterus to the pelvicwall. It fluctuates freely and gives theimpression of a thin-walled cyst. Fre-quently some induration from exudate oradhesions, may be felt. It is not tenderordinarily. It is somewhat movable,though not as much so as a small pedicu-lated ovarian tumor. It is attached tothe uterus and to the pelvic wall and alongthe upper part of the broad ligament. 4. Parovarian Cyst (Fig. 388). It is. Fig. .388. A Parovarian Cyst, forming a large Massand displacing the uterus. (Ashton—Practice ofGynecologij.) OTHER FLUID MASSES BESIDE CERVIX 261 sitaated near the center of the broad hgaraent and, if as large as an orange, it beginsto comedown about the cervix just Ijeneath the vaginal wall. It is approximatelyspherical, though somewhat irregular in shape. It fluctuates freely throughout and the fluid seems very close to theexamining fingers. There is no tender-ness, unless complicated by inflammationor neuritis or other painful affection. It is fixed, as a rule, but not peritoneal layers of the broad liga-ment stretch sufficiently to permit con-siderable movement in some cases, especi-ally later, when the cyst has gotten so largethat it rises out of the pelvis. The uterusis displaced to the opposite side, and thecyst is attached to it and to the pelvicwall, but not intimately as a rule. If in-flammation takes place about the cystthen there is marked fixation and attach
Size: 1670px × 1496px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubje, booksubjectgynecology
