Apoplexy of the ovary : cystic dilatation without rupture / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Apoplexy of the ovary : cystic dilatation without rupture / 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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    Olshausen. The former has observed- great distention of the follicles from effused blood without “.any extravasation of blood into the stroma ” in three subjects* after death from petroleum-burns ; in two after phosphorus poison- ing ; in three after typhoid fever ; in one after .cerebral apoplexy ; one after tuberculosis; and one after death from cardiac disease. Olshausen, in his excellent-' Krankbeiten der Ovarien/ divides ovarian apoplexy into two varieties, haemorrhage into the follicles and haemorrhage into the stroma. In pure examples of the second variety, which follow local congestion and are seen as complications of scurvy, typhoid and other fevers, the stroma becomes converted into a spongy substance full of fluid blood, resembling the spleen. The present specimen, as proved by the appearances which I have above described, is an example of ovarian apoplexy originating in a follicle, but involving the stroma through rupture of the follicle. Olshausen, who recognises this secondary form of hasinorfhage into the stroma, de- scribes an apparently similar case. “ Whilst small apo- plexies disappear, as a rule, through reabsorption, and leave no trace behind, large effusions may lead to the partial or complete destruction of the parenchyma,* involving in the latter case the conversion of the ovary into a single cyst, filled with a thick, greasy mass. In the course of a necropsy I recently came across this condition by acci- dent. The ovary, lying in its natural position, was about three times its normal size. The outer wall was thick, no trace of the stroma remained, and the contents formed a very thick, greasy, brownish-yellow mass.” Haemorrhage into the follicles, Olshausen's first variety of ovarian apoplexy, must often be overlooked. Unless every follicle be involved, it is hard to believe that it necessarily destroys the functions of the ovary. Haemor- # Olshausen does not state whether this is caused by pressure of the blood within an unruptured follicle, or by extravasation into the stroma, as in the piesent case.
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