File:Operative gynecology (1898) (14784507505).jpg

Identifier: operativegynecol9802kell (find matches)
Title: Operative gynecology
Year: 1898 (1890s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943
Subjects: Genital Diseases, Female Generative organs, Female
Publisher: New York, D. Appleton and Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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l epithelium and the smaller ones by cylindrical cells. Thismay be the outcome of an endosalpingitis follicularis described byA. Martin; Orth states that the alveoli or glandlike spaces may become cystic. Out of eleven cases of hydrosalpinx, four were follicular and two of themwere bilateral. One case presented a follicular hydrosalpinx on the left anda simple hydrosalpinx on the right, tending to show the close genetic relation-ship between the two varieties. 4. Tubo-ovarian Cysts.—A tubo-ovarian cyst is formed by a communicationbetween a tube and a cyst of the ovary, so that fluid may pass freely from oneto the other. The dropsical tube in these cases ends in a bulbous enlargementas big as a thumb or a childs head. What is most remarkable in these cases isthe fact that the fimbriated end of the tube is often found spread out over theinner surface of the cyst. J. Bland Sutton (Surg. Dis. of Ov. and Fal. Tubes,London, 1896, p. 102), who has made an admirable study of this condition,
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Fig. 378.—Kight Tubo-ovarian Cyst. The tube above ends in a bulbous extremity, fused with the ovary, with only a slight sulcus betweenthem. The ovarian ligament is shown below, leading out to the cystic ovary. By cutting the cyst open inthe direction of the dotted line, the interior of the cyst is seen as in Fig. .379. Path. No. 665. Natural size. bringing his wide acquaintance with comparative pathology to his aid, considersthat these tumors are due to the presence of a tunic of the peritoneum, whichoccasionally invests the human ovary in the same way that the funicular pouchclothes the testicle, and similar to the peritoneal pouches in some animals, andfor this reason he calls the condition an ovarian hydrocele. One of my cases of tubo-ovarian cyst, of small size, is seen in Figs.378 and 379 ; I have also had one case in which the tumor in the left side was asbig as a mans head and filled with a limpid fluid; the valvelike opening out nix aTAj<r lo zoiTiiaoaaa ^fioia^ilijj; Jri

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