File:Diseases of women. A clinical guide to their diagnosis and treatment (1899) (14745289266).jpg

Identifier: diseasesofwomenc00herm (find matches)
Title: Diseases of women. A clinical guide to their diagnosis and treatment
Year: 1899 (1890s)
Authors: Herman, G. Ernest (George Ernest), 1849-1914
Subjects: Women
Publisher: New York, W. Wood & Co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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cy, but to a less degree. The muscularfibres with multiple fibroids are also larger than those of theunimpregnated uterus. Hence a French writer has happilyspoken of fibroid pregnancy, as others have done of thedelivery of a fibroid. The tumours themselves are poor invessels, but the tissue around them is vascular, and often theyare surrounded with venous plexuses. In older patients theuterine wall is sometimes atrophied. We cannot define moreclosely than this upon what the condition of the uterinewall depends. The uterine cavity is lengthened, and sometimes its * Deutsche Chirurs-ie, Billroth and Liicke, Lief. 57. BLEEDING FIBROIDS. 411 direction is made bent, or even, when submucous growths arealso present, tortuous. (Figs. 132, 133.) This latter conditionmakes it impossible correctly to measure the length of theuterine cavity with the sound. The uterine appendages areoften displaced by irregular enlargement of the uterus frominterstitial tumours (Fig. 134). This is a fact important
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Fig. 133.—Submucous fibroid, causing great enlargement of the uterus and uterinecavity ; three-eighths natural size. (From a specimen, G G 29, in the Museum,St. Thomass Hospital.) (After R. Barnes.) to remember in advising treatment. Interstitial fibroidswhich enlarge the uterine cavity cause haemorrhage becausethere is a larger surface to bleed each month and becausethey attract blood to the uterus. When a fibroid projects into the uterine cavity the en-dometrium becomes hypertrophied. This has been called endometritis, but there is no evidence of inflammation : the 412 DISEASES OF WOMEN.

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