. The diagnosis and treatment of diseases of women. (Hirst- POINTS IN PATHOLOGY 629 other, so I think best to consider them all together. For convenience they aredivided into three classes according to locality—(a) in the uterus, (b) in adja-cent structures and (c) in distant Fig. 610. Section of a Necrotic Fibroid. I saw the patient in consultation with Dr. C. O. C. was a large fibroid extending nearly to the umbilicus, which had become necrotic from infectiondue to the introduction of a uterine sound by a midwife. The patient was in a desperate clinical featu
. The diagnosis and treatment of diseases of women. (Hirst- POINTS IN PATHOLOGY 629 other, so I think best to consider them all together. For convenience they aredivided into three classes according to locality—(a) in the uterus, (b) in adja-cent structures and (c) in distant Fig. 610. Section of a Necrotic Fibroid. I saw the patient in consultation with Dr. C. O. C. was a large fibroid extending nearly to the umbilicus, which had become necrotic from infectiondue to the introduction of a uterine sound by a midwife. The patient was in a desperate clinical features are mentioned briefly on page 660. At the operation we found that thenecrotic fibroid had perforated the uterine wall and was in contact with the omentum. This Antero-posterior Section of the removed Uterus and Tumor shows accurately the relation of the necrotic massto the uterine wall. It was almost free in its suppurating bed. Fig. 611 shows the perforation throughthe uterine wall. 630 FIBROMYOMA OF THE UTERUS a. In this class come thickening of the endometrium, distortion of the uterinecavity and displacement of the uterus. b. Here are found salpingitis, hydrosalpinx and pyosalpinx. Also, compressionof the ovaries, with inflammation and sometimes hematoma. There may be
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