File:The diagnosis of diseases of women (1905) (14763034162).jpg

Identifier: diagnosisofdise00find (find matches)
Title: The diagnosis of diseases of women
Year: 1905 (1900s)
Authors: Findley Palmer. (from old catalog)
Subjects:
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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ible causes are wound infections followingoperations and attempts to induce abortion; ill-fitting pessaries,which have ulcerated through the vaginal wall; infectious diseases,such as dysentery and typhoid fever, where the infection is con-veyed through the bowel or bladder into the paravaginal connectivetissue, and in all inflammatory diseases of the rectum and bladderextending to the vagina. Veit describes a peculiar form which he designates as paravaginitisphlegmonosa dessecans. But few cases have been recorded. Onewas ascribed to gonorrhoea; others may have been due to criminal DIAGNOSIS OF disi:asi:s of the vagina 277 abortion, and in two instances no cause was assigned. Undoubtedlythe lesion may arise as a complication of contagious and infectiousdiseases. Cicatricial contraction of the vagina is the final result. NEW-FORMATIONS OF THE VAGINA. Cysts of the Vagina. Cysts of the vagina are not of greatrarity. Neugebauer found thirty-six cases in 600 observations(Fig. 111). Fig. Ill
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Cyst of the anterior wall of the vagina. A thin-walled, translucent cyst protrudes fromthe vulva. Such a growth may be mistaken for an inverted uterus or a complete prolapsusuteri. The cyst fluctuates, there are no tubal or cervical openings, and the uterus is foundin its normal position by a rectoabdominal examination. Histogenesis. The fact that the epithelial lining of the cystsvaries in form suggests various origins. Veit believes them to 278 SPECIAL DIAGNOSIS develop from remains of the Wolffian ducts. The ducts of Gartnerdo not ordinarily extend below the vault of the vagina, but instancesare known in which they extended as far as the urethral openingalong the lateral and anterior walls of the vagina. In these ductsmuscle fibres and cylindrical epithelium are observed, and so it isthat cysts located in the sides or in the anterior wall of the vaginaand containing muscle fibres and epithelium are assumed to arisefrom the ducts of Gartner. As further evidence of this origin, maybe

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