. Operative gynecology. ormed in the pedicleof the vesicle, which j^roba-bly hung over the back ofthe broad ligament; thenone of the fimbrise slippedin, was caught in the tieand strangulated, and the vesicle and distal portion of the pedicle, also strangulated, dropped off, leavingthe knot fixed by a little adhesive peritonitis, as I found it. In one case there was a hemorrhagic infarct of the large left hydatid, due toa pedicle several times twisted and almost severed. In another instance the long pediculated left hydatid was adherent to thesigmoid fiexure above the pelvic brim, forming a lar
. Operative gynecology. ormed in the pedicleof the vesicle, which j^roba-bly hung over the back ofthe broad ligament; thenone of the fimbrise slippedin, was caught in the tieand strangulated, and the vesicle and distal portion of the pedicle, also strangulated, dropped off, leavingthe knot fixed by a little adhesive peritonitis, as I found it. In one case there was a hemorrhagic infarct of the large left hydatid, due toa pedicle several times twisted and almost severed. In another instance the long pediculated left hydatid was adherent to thesigmoid fiexure above the pelvic brim, forming a large loop like a long band oflymph. Fibroid Tumors of the Ovary.—These are among the rarest of the pelvictumors, and are characterized l)y a multiplication of the connective-tissue ele-ments of the ovary at the expense of all the other histological constituents. Theentire organ is usually involved, becoming converted into a fibroid ovary,which may rarely contain degeneration cysts, dilated blood spaces, and Fio. 431.—Pakovarian Cyst wnii ini^iii ri,ui( ll, \miii IIlm-oRRiiAGic Infarction oi ruE L rEBiNt liBt The ovary is intact, together with a small portion of tlie uterineend of the tube. Gyn. No. lUnO. Natural size. 286 OVARIOTOMY. The tumor is densely hard, often almost bony in consistence, pinkish orwhite in color, covered with smooth peritoneum, but divided into lobes by deepand shallow furrows. The fibrous growth is never disposed like a uterine fibroidin a bed from which it can be shelled out; the connection with the ovarian stromais direct and shows no line of demarcation. Calcification of fibroid tumors of the ovary occurs in rare instances, formingmasses usually small in volume, consisting of the phosphates and carbonates ofcalcium. The largest mass I have seen was shown to me by Dr. Copelandin Milwaukee, who at my request sent it to Baltimore, where it was care-fully examined and described by Dr. J. W. Williams in a valuable monograph
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
