Fibro-myoma of the ovarian ligament / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
[1887]
Catalogue details

Licence: Public Domain Mark

Credit: Fibro-myoma of the ovarian ligament / by Alban Doran. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    5 • - *;V i'O /If v- 70 j6 * Stt ZcP Fibro^i^ojnaiiof *tlyr%varian ligament. MS By Alban Doran. This specimen consists of the left ovary, the left ovarian ligament, and the adjacent part of the left side of the uterus. In the midst of the substance of the ovarian ligament is a small spherical tumour, about half an inch in diameter. The parts were removed, in February, 1887, from a young patient, by Mr. Knowsley Thorn- ton. The patient suffered pain from a small fibro-myoma of the uterus. The removal of the appendages alone was intended, but, as frequently occurs under the circumstances, it was found neces- sary to amputate the uterus above the vagina. From the surface of the right ovary bulged a small lobe, what has been termed a “ supernumerary ovary.” The spherical tumour in the ovarian ligament is composed of plain muscular fibres, mingled with white fibrous tissue, as may be seen from inspection of a section which Mr. Eve kindly prepared for me at the Boyal College of Surgeons. It is, in fact, simply a uterine “ fibroid” situated in that part of the uterus known as the ovarian ligament. In this case, the body of the uterus was con- verted into a “ fibroid ” mass of the familiar type. The universally enlarged walls contained numerous circumscribed spherical nodules like this specimen. The ovarian ligament is a band of uterine tissue running from the uterus to the parenchyma1 of the ovary, and not to the tissue of the hilum.2 Over this band the peritoneum forms a fold. Systematic anatomists often speak as though the fold were the essential part of the ligament. Being uterine tissue, it is not sui'prising that the ovarian liga- ment should enlarge when fibro-myoma develops in that portion of the uterus adjacent to it. In cystic ovarian disease the ligament 1 “ The ooplioron ” of J. Bland Sutton j see ‘ An Introduction to General Patho- logy.’ Its relation to ovarian pathology is explained in my memoir on “ Papil- lary Cysts of the Ovary ” in the Society’s ‘ Transactions,’ vol. xxxiii, p. 207. 2 The “ paroophoron ” of Sutton. Its relation to ovarian pathology is explained in the paper noted in the preceding footnote.