File:Fibroids and allied tumours (myoma and adenomyoma) - their pathology, clinical features and surgical treatment (1918) (14757631416).jpg

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Identifier: fibroidsalliedtu00lockuoft (find matches)
Title: Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment
Year: 1918 (1910s)
Authors: Lockyer, Cuthbert Henry Jones, 1867-
Subjects: Generative organs, Female -- Tumors Gynecology, Operative
Publisher: London : Macmillan
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: MSN

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Fig. 145.—Showing a myoma of the posterior uterus wall. It was removed from ahospital patient on account of her suffering from acute retention of urine. There have been four cases only, in a series of 270 myomaswhich have come to me, on which I have had to operatefor retention of urine. In three cases the existence of thegrowth was unsuspected until acute retention supervened. ; IX PRIMARY SYMPTOxMS : PRESSURE ^75 A submucous myoma in a retroflexed uterus will some-times cause acute retention in exactly the same way as anincarcerated, retroverted, gravid uterus ; the urethra is thennot so much impacted as stretched, the lumen being obliter-ated by the process of stretching and elongation. A description has already been given in another section
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Fig. 146.—Sliowing a myoma of the posterior wall of the uterus which was removedbecause it caused retention of urine. of the effects produced on the ureters and kidneys by chronicretention of urine, but it may here be stated that chronicretention and cystitis, and the sequelae relating thereto, arerarely seen in association with uterine myomas. Cystitiswas only twice found in 1400 cases by Kelly and Cullen. Incontinence of urine is sometimes caused by pressureot the uterine tumour on the bladder, but this is very seldom.Urinary symptoms are more often noticeable just before, and 176 CLINICAL FEATURES OF MYOMA chap. during menstruation, at which times myomas can often beobserved definitely to increase in size. Pressure on theureter and disphicement of the duct have been dealt wathin a previous section (see page 123). Blood-vessels and lymphatics in the broad ligaments mayshow signs of direct compression by myoma. The resultsare localised dilatation of both veins and lymphatics ; thes

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  • bookid:fibroidsalliedtu00lockuoft
  • bookyear:1918
  • bookdecade:1910
  • bookcentury:1900
  • bookauthor:Lockyer__Cuthbert_Henry_Jones__1867_
  • booksubject:Generative_organs__Female____Tumors
  • booksubject:Gynecology__Operative
  • bookpublisher:London___Macmillan
  • bookcontributor:Gerstein___University_of_Toronto
  • booksponsor:MSN
  • bookleafnumber:268
  • bookcollection:gerstein
  • bookcollection:toronto
  • bookcollection:medicalheritagelibrary
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29 July 2014

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