Prolapse of the ovaries / by Paul F. Mundé.

  • Mundé, Paul F. (Paul Fortunatus), 1846-1902.
Date:
[1880]
Catalogue details

Licence: Public Domain Mark

Credit: Prolapse of the ovaries / by Paul F. Mundé. Source: Wellcome Collection.

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    rine, into Douglas’ pouch. 3. Ante-uterine, into the vesico¬ uterine, or paravesical pouch. 4. Into the infundibulum of an inverted uterus. The cases of prolapse of the ovary into a hernial sac are extrapelvic, and not to be considered here. My statistics show that the prolapse of the ovaries later¬ ally and backwards constitutes by far the greater majority of all cases of dislocation, for only twice did I touch the ovary anterior to the uterus, as the anatomical relations of the organs would, indeed, lead us to expect. The left ovary is more frequently found prolapsed than the right (46 out of 77), an observation also made by Barnes,1 and due probably to the preponderance of congestion and inflammation of the left ovary.2 The prolapse (or, better, pro-traction) of the ovaries into the crater of an inverted uterus is mentioned merely for completeness’ sake, and has no practical value by itself. ETIOLOGY. The various conditions favoring or producing dislocation of the ovary are : — 1. Enlargement of the ovary. 2. Displacement of the uterus. 3. Relaxation of the supports of the uterus .and ovaries. 4. Inflammatory adhesions. 5. Sudden jarring or concussion of the whole body. 6. Pressure from above, as by tumors, fecal accumula¬ tion, etc. 1. Enlargement of the ovary. — The ovary may become en¬ larged from various causes : normal, periodical, menstrual congestion ; passive or inflammatory hyperemia; acute or (much more frequently) 3 chronic interstitial inflammation ; puerperal subinvolution ; beginning cystic, fibrous, or can¬ cerous degeneration ; early ovarian pregnancy. 1 Loc. cit., p. 266. 2 See discussion by Peaslee, Jacobi, and others. Trans. N. Y. Obst, Soc., May 7, 1876 ; Am. Jour. Obst., vol. ix., p. 650. 8 Skene, American Journal of Obstetrics, April, 1879, PP* 343> 344*