Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . adenomyoma lying in the left broad ligament. It displaced the tube andovary upwards and to the right side. (After Doderlein and Herzog, Surgery, Gynaecologyand Obstetrics, Fig. i, page i8, January 1913.) the duct-system of von Recklinghausens tumours andthe lumen of the tube. He accepted Micholitschs viewas to the aetiology of tubal gestation in these cases. Theodore Doderlein and Max Herzog described anew type of ectopic pregnancy : pregnancy in an adeno-myomatous uterus- (see Figs
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . adenomyoma lying in the left broad ligament. It displaced the tube andovary upwards and to the right side. (After Doderlein and Herzog, Surgery, Gynaecologyand Obstetrics, Fig. i, page i8, January 1913.) the duct-system of von Recklinghausens tumours andthe lumen of the tube. He accepted Micholitschs viewas to the aetiology of tubal gestation in these cases. Theodore Doderlein and Max Herzog described anew type of ectopic pregnancy : pregnancy in an adeno-myomatous uterus- (see Figs, 219 and 220). The patient ^ Beiderseitige interstitielle Graviditat, Gynak., 1908, p. Surgery, Gynaecology and Obstetrics, N. xvi. p. 14, 1913. 382 ADENOMYOMA CHAP. was aged ^7 years. One year before observation she hadundergone a comphcated abortion without medical aid ;eight months Liter she was pregnant, and at the fourthmc^nth pain was felt in the lower abdomen. Three monthslater, the patient was examined by a doctor for haemorrhage,and a tumour was discovered. There was a tumour to the. Fig. 220.—Same specimen as shown in Fig. 219. The cystic adenomyoma is seen to com-municate with the uterine cavity. It contained placental tissue. (After Doderleinand Herzog, Fig. 2, page 18, ) left of the uterus which pushed the organ upwards andto the right ; the tumour felt harder than a gestation cervical canal was patulous. At the operation the uteruswas found to be enlarged, and pushed over to the right, bya tumour within the left broad ligament. The growtharose below the level of the tube. Both tubes were intactand opened into the uterus. The growth in the broadligament communicated with the uterus bv a channel which Ill ADENOMYOMA AND PREGNANCY 383 admitted the tips of two fingers. On slitting the canal opena large cavity was found inside the tumour, and within itwas a placenta in a good state of preservation. A fairlytypical, though quite irregular
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