File:Gynecological diagnosis (1910) (14755138846).jpg

Identifier: gynecologicaldia00burr (find matches)
Title: Gynecological diagnosis
Year: 1910 (1910s)
Authors: Burrage, Walter L. (Walter Lincoln), 1860-1935
Subjects: Women
Publisher: New York, London, D. Appleton and Company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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nus muscle in closerelation with the internal abdominal ring. They get to theirnormal situation in the adult soon after birth. It may happen invery rare instances that an ovary may remain in the neighborhoodof the kidney and may retain its infantile shape. If it is the rightovary that has failed to descend the cecum also generally remainshigh up, in its fetal position. (b) Prolapse of the ovary may occur when from repeated preg- DISPLACEMENTS OF THE OVARY 287 nancies the ovarian and broad ligaments have been stretched andsubsequently not properly involuted, permitting the ovary to sagback into Douglas cul-de-sac. Also when an ovary is enlargedfor any reason and thus gravitates of its own weight to the pelvicfloor. Misplacements of the uterus, such as retroversion andretroflexion, are commonly associated with prolapse of the ovaries.Prolapsed ovaries may be tender to touch, when we may assumethat they are the seat of inflammation, ovaritis. In this event Utero-ov arianI i g anient Tube
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Broa d tig- es.me\-\t Fig. 118.—Ovary and Tube of a Woman during Sexual Maturity they may cause suffering when pressed on during the ac1 ol deltion, especially the left ovary, or during coitus. The diagnoestablished by the bimanual tough. Absence of the ovary in itsnormal situation and its presence a1 the base of the broad ligamentas determined by rectal touch are tin- diagnostic points. It isoften difficult to differentiate a prolapsed ovary from a smallscybalous mass in the rectum. In order to do this successfully, 288 DIAGNOSIS OF DISEASES OF THE OVARIES thoroughly cleanse the rectum by enema, and examine a secondtime. In some cases it is well to use the proctoscope to be surethat the upper rectum is free. If the ovary is tender distinguish-ing it is easier. (c) Hernia of the ovary is comparatively rare in adults but occursnot infrequently in infants under a year and a half old. It mayoccupy a hernial sac either alone or accompanied by its Fallopiantube. Ovarian hernia is more ap

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