Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . it difficult to reach the head, and then onlyby introducing the hand into the vagina. On tracing theOS uteri, the tumour was found continuous with it, and itwas thus not difficult to make out its true nature, althoughit had been mistaken at first by the midwife for a breechpresentation, and by some medical men for a distendedbladder, which indeed it much resembled. The catheter made it clear that the tumour lay posteriorto the bladder. Version was found after two attempts tobe impos
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . it difficult to reach the head, and then onlyby introducing the hand into the vagina. On tracing theOS uteri, the tumour was found continuous with it, and itwas thus not difficult to make out its true nature, althoughit had been mistaken at first by the midwife for a breechpresentation, and by some medical men for a distendedbladder, which indeed it much resembled. The catheter made it clear that the tumour lay posteriorto the bladder. Version was found after two attempts tobe impossible. Forceps could not be applied, delivery afterperforation was judged to be impossible, so enucleation,ecrasement, and Caesarean section were the only remainingalternatives. Enucleation was fortunately chosen. VIII RELATION TO PREGNANCY 39 The foetal head came quickly down into the brim, andthe child was delivered, by gentle traction, alive andhearty. The patient bore no evidence of shock eitherin appearance or pulse, and gave no anxiety whatever. Thetumour weighed i^ lb. Microscopically it was found to. Fig. 132.—Showing a submucous myoma which was extruded in advanceof the foetal head during delivery. be composed almost entirely of connective tissue with a few colossal fibres, the whole mass being liberally suppliedwith blood-vessels.^ Robert Barnes recorded a case where a myoma wasdriven down before the childs head, and becoming jammed ^ Trans. Obst. Soc. Land. vol. xii. pages 273-276, 1870.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecologyoperative
