File:Transactions of the Southern Surgical and Gynecological Association (1910) (14745714136).jpg

Identifier: transactionsofso2319sout (find matches)
Title: Transactions of the Southern Surgical and Gynecological Association
Year: 1910 (1910s)
Authors: Southern Surgical and Gynecological Association (U.S.)
Subjects: Surgery Gynecology Surgery Genital Diseases, Female
Publisher: (S.l.) : The Association
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
rticulum was white androughened. The bladder lining appeared practically normal.The opening in the bladder was sutured and the woundhealed promptly, the patient making a complete recoveryin every way. In the sac removed were cheesy-like masses of varyingsizes, some attached to the wall and still more floating freein fluid with which it was distended. Dr. Whitney reported that the microscopic examinationshowed the sac was lined with epidermis and that thecheesy masses were simply clumps of rolled up epidermalcells. Diverticula of the bladder are common; cysts of theurachus are common and merely patent urachi are stillmore common, but none of these are lined with epidermis.In this case we had what was practically an enormous wenopening into the bladder. One meets occasionally with inclusion cysts of this char-acter of the umbilicus, but there is generally a small openingon the surface of the body. Whether this cyst could havestarted early in life at the umbilicus and finally opened into
Text Appearing After Image:
S. J. MIXTER 469 the bladder is a question. It is hard to conceive of a truedermoid cyst in this location. Its true etiology I am abso-lutely unable to give with certainty. Microscopic Report by Dr. Whitney The specimen from Mrs. R. E. A. (T. 91-5), January 5,consisted of a rounded cavity the size of an orange, with athick wall, the inner surface of which was slightly wrinkled,white and cutaneous looking. In one or two places itappeared more like a mucous membrane. Microscopic examination of the lining of the cavity showedit to be formed of many layers of flat epithelial cells, thedeeper layers of which were slightly elongated. At thepoint where it touched the mucous membrane it stopped verysharply and the epithelium beyond was more columnar andcomposed of a single layer. In the wall were bundles ofsmooth muscular fibers. Diagnosis: Diverticulum of the bladder with an epidermoidlining membrane. SOME OF THE FACTORS THAT INFLUENCE THEPROGNOSIS IN OPERATIONS FOR CANCER By G. W. Crile, M.

Note About Images