Cystic diseases of the chorion / by J. Foster Palmer.

  • Palmer, James Foster.
Date:
[1909]
Catalogue details

Licence: In copyright

Credit: Cystic diseases of the chorion / by J. Foster Palmer. 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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    the uterine wall it may form the nucleus of another mass of cysts, N\hich, after a time, might reach the same proportions as the first. It is true that in this case abortion was said to have taken place between the first and the second expulsion of cysts. This, however, is more than doubtful. It depended only on the patient’s word. No medical advice was thought necessary. If the haemorrhage had been at all considerable a doctor would have undoubtedly been called in, after the great alarm caused by the previous case. .Sufficient haemorrhage to suggest abortion to the patient, accompanied, perhaps, even by small portions of the diseased ovum, may well have occurred after the first expulsion, either from some uterine or ovarian congestion, or from a partial detachment of the collection of cysts. Indeed, the decomposed condition of part of the ovum seems to suggest some partial previous detachment. If the fact of this continuous pro- liferation were established, it would confirm in an unmistakeable manner the view of cyst formation taken by Paget and Mettenheimer, as such action would be practically impossible if the cyst formation were merely the result of passive exudation due to the death of the foetus, as held by Gierse and Meckell.