The diseases of women : a handbook for students and practitioners . he spleen has such a long pedicle that itmay reach every region of the abdomen and even lodgeon the floor of the pelvis. Such wandering spleens areliable to twist their pedicles. Very large spleens have been mistaken for ovarian oruterine tumors, more often the latter. In one remarkablecase cceliotomy was performed, and a tumor supposed tobe a uterine myoma was removed; subsequently, when thefragments were examined microscopically, the tissue wasdiscovered to be splenic (Varneck). When the spleen is occupied by a large echinoc
The diseases of women : a handbook for students and practitioners . he spleen has such a long pedicle that itmay reach every region of the abdomen and even lodgeon the floor of the pelvis. Such wandering spleens areliable to twist their pedicles. Very large spleens have been mistaken for ovarian oruterine tumors, more often the latter. In one remarkablecase cceliotomy was performed, and a tumor supposed tobe a uterine myoma was removed; subsequently, when thefragments were examined microscopically, the tissue wasdiscovered to be splenic (Varneck). When the spleen is occupied by a large echinococcuscolony, then the resemblance to an ovarian cyst is veryclose. The Liver.—When the liver is greatly enlarged it hassimulated an ovarian tumor. A very distended gall-blad- DISEASES OF THE OVARIES. 285 der may simulate a renal tumor, cancer of the pylorus, oreven an ovarian cyst with a long pedicle. But a verylarge hydrocholecyst has been known to reach into thehypogastrium. A greatly distended stomach, a large cyst of the great Rectum Tumor of ovary. Fig. 93.—Large fibroma of the ovary which obstructed labor at term (Museum RoyalCollege of Surgeons). omentum (omental hydrocele), chyle cysts of the mesen-tery, pancreatic cyst, and echinococcus colonies in relationwith any abdominal viscus are sometimes sources of diffi-culty in diagnosis, but they rarely complicate the differen-tial diagnosis of tumors of the genital organs. Ovarian Tumors and Pregnancy.—Throughout the 286 DISEASES OF WOMEN. description of the diagnosis of ovarian tumors considerablestress has been laid on the necessity of careful discrimina-tion between a tumor of an ovary and pregnancy. It isnow important to discuss the difficulty and dangers whenthe two conditions coexist (Fig. 93). When an ovarian tumor complicates pregnancy, it is nottoo much to state that the life of the woman is in perilthroughout the period, and the danger increases with eachsucceeding month of gestation, and culminates
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