. The diagnosis and treatment of diseases of women. Fig. 326. A group of small Cysts of the VaginalWall. (Montgomery—Practical Gynecology.) Fig. 325. A Pediculated Fibroid CausingInversion of the Uterus. This shows also adanger to be avoided in treatment. Ampu-tation of the fibroid by cutting across thepedicle at the level of the line A, B, wouldopen the peritoneal cavity. (Thomas andMunde—Diseases of Women.). Fig. 327. Anterior Vaginal Hernia. (Ashton-Practice of Gynecology.) CHANGES FELT IN THE CERVIX , 231 Tumor of Vaginal Wall. This is usually a cyst. A rounded mass containingfluid is felt
. The diagnosis and treatment of diseases of women. Fig. 326. A group of small Cysts of the VaginalWall. (Montgomery—Practical Gynecology.) Fig. 325. A Pediculated Fibroid CausingInversion of the Uterus. This shows also adanger to be avoided in treatment. Ampu-tation of the fibroid by cutting across thepedicle at the level of the line A, B, wouldopen the peritoneal cavity. (Thomas andMunde—Diseases of Women.). Fig. 327. Anterior Vaginal Hernia. (Ashton-Practice of Gynecology.) CHANGES FELT IN THE CERVIX , 231 Tumor of Vaginal Wall. This is usually a cyst. A rounded mass containingfluid is felt and, tracing it up, it is found to be attached to the vaginal wall (). It can not be reduced into the peritoneal cavity like a hernia, neither is thereany evidence of any obstructive bowel disturbance. Solid tumors of the vaginalwall sometimes occur. Vaginal Hernia (Fig. 327). This is felt as a soft elastic mass, causing projectionof the vaginal wall. It can be reduced into the peritoneal cavity but returns whenthe patient coughs or bears down. It disappears when the patient is in the knee-chest posture, unless strangulated or incarcerated. There may or may not be sym-toms of intestinal obstruction, partial or complete. Abscess Pushing Vaginal Wall Inward. Such an abscess may arise in the con-nective tissue beside the cervix or in the posterior cul-de-sac or in front of the cer-vix or as an isc
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