Ovarian tumours simulating inflamed ovaries : including a case of ovarian myoma / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
[1898]
Catalogue details

Licence: Public Domain Mark

Credit: Ovarian tumours simulating inflamed ovaries : including a case of ovarian myoma / 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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    EDINBURGH y MEDICAL JOURNAL. ORIGINAL COMMUNICATIONS. OVARIAN TUMOURS SIMULATING INFLAMED OVARIES, INCLUDING A CASE OF OVARIAN MYOMA. By Alban Doran, F.R.C.S., Surgeon to the Samaritan Free Hosgrital, London. In these days when medical education is well diffused, and ovariotomy widely undertaken by general surgeons, the diagnosis of an ovarian tumour is seldom deferred till dangerous complica- tions have set in, and few surgeons shrink from operating as soon as the tumour has been detected. Experience shows that, as a rule, an ovarian tumour gives no trouble when it is small, complications rarely beginning till some time after it has risen above the pelvis. At the same time, a tumour of this kind is best removed when it is diagnosed, for, the earlier the ovariotomy, the less will be the risk. On the other hand, the hasty removal of swollen inflamed ovaries is greatly to be deprecated. Taking into consideration certain faniiliar symptoms, a tender, more or less movable, body in Douglas’s pouch usually proves to be an inflamed ovary; and, as a rule, it will cease to be tender after appropriate medical treatment. But it sometimes happens that an ovarian tumour in its earlier stages, before it rises into the abdomen, may become tender, or that pelvic symptoms, really due to inflammatory changes in the uterus or opposite ovary, may interfere with diagnosis. I have come across a considerable number of such cases in my own operative practice. I will set aside instances of more or less fixed sessile pelvic cysts, including such as, when menorrhagia and elongation of the uterine cavity are present, simulate uterine fibroid. I will confine myself to six cases where there was in each instance an enlarged ovary, and where before operation the cause of enlargement was not clear, though the suspicion of a new growth justified exploration. The question of diagnosis is important, and the consultant in 29 ED. MED. 515- i—NEW 8KR.—VOL. III.—