File:Diseases of women. A clinical guide to their diagnosis and treatment (1899) (14768001302).jpg

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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^ be an ovarian or a fibroid pushing the uterusforward so as to compress the urethra and cause retention.Such a tumour may have been at one time above the pelvis,but have been suddenly pushed down during some effort, andhave then got incarcerated under the sacral promontory. Orit may have been slowly growing in the pelvis, causing notrouble until it got so large that some increased congestionwithin the pelvis—as, for instance, from fatigue—led toswelling of the tumour, the uterus, or the urethra, or all of RETENTION OF URINE. 683 them, sufficient to cause retention. If so, a few days restin bed after the Urine has been drawn off will preventrecurrence of the retention. In either case the treatmentis, first, to draw off the urine, and then carefully to examinethe parts. I describe in other chapters the diagnosis andtreatment of such tumours. The lump pushing the uterus forward may be a collectionof blood, pus, or serum. The blood may be in Douglass Ute,TiLS Peritoneum,
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Echinococcus Colony Fig. 176.—Retro-uterine hydatid. (After Bland Sutton.) pouch or in the cellular tissue. I have described the causes,symptoms, and signs of such blood effusion in Chapter XX.Pus may be in the Fallopian tube, in an ovarian cyst, orin the peritoneum. Information as to such pelvic sup-puration will be found in Chapters XVI. and XVII. Theswelling may be serous exudation: a form of perimetritisthat I have described in Chapter XV. A swelling behind theuterus may be an ectopic pregnancy; this I shall describein a later chapter. Hydatid cysts.—A retro-uterine tumour causing retentionmay be a hydatid cyst* (Fig. 176). Such tumours are rare * See a case by the author, Lancet, Nov. 21, 1896. For an account ofhydatids in the peritoneum generally, see Fenwick, on Obscure Diseases ofthe Abdomen. 684 DISEASES OF WOMEN. in women, commoner in men. The cyst may be single, butthey are oftener multiple. They cause no symptoms exceptby their size, unless they suppurate. A hydated cy

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