Diseases of women. A clinical guide to their diagnosis and treatment (1899) (14788094933)

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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e pelvis, lifted up the uterus, and reached to withina hands breadth of the umbilicus. They may becomecedematous, or ulcerated, or gangrenous; the latter eventhad begun in Hastenpfmgs casev They are composed mainlyof white fibrous tissue, with a few unstriped muscular fibres.A vaginal fibroid may pull down the vagina and causeprolapse, as in a specimen in the London Hospital museum %(Fig. 73). This prolapse differs from the ordinary form inthat the bladder and urethra do not descend, as they dowhen prolapse is caused by pressure from above. * Contributions to Obstetrics and Gynaecology, p. 201. A list of reportedcases accompanies Simpsons paper, + Quoted by Pozzi. I have not seen the original.J 2130. M 178 DISEASES OF WOMEN. Symptoms.—Fibroids of the vagina generally occur inmiddle life. They usually cause bearing-down and a protru-sion from the vagina. The protrusion is either the fibroid itselfor a slight descent of the vagina caused by the bearing-down Fallopian tube Ovary Rectum
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BladderSymphysis pubis Urethra Anterior vaginalfornix Body ot uterus Vagina Filiroid Tumourof cervix uteri Fig. 73.—Uterus dragged down by a tumour growing Irom the cervix uteri andadjoining part of vagina. (From a specimen in the London Hospital Museum.) CONDITIONS RESEMBLING PROLAPSE. 179 efforts which the fibroid produces. If large enough, a vaginalfibroid may interfere with micturition, with sexual intercourse,or with delivery. They have been said to cause leucorrhceaand haemorrhage; but I see not how. I should take the asso-ciation of bleeding with a vaginal fibroid as a coincidence. Diagnosis.—This is easy, unless the fibroid has undergonedegeneration. The fibroid is recognised by its hardness,roundness, and distinctly circumscribed shape. It cannot bedistinguished from sarcoma until it has been removed andexamined with the microscope. Sarcoma may be suspectedif the tumour has grown quickly, and is dark in colour fromvascularity and ecchymosis. Sarcomata used to be called re