Ovarian tumors, and remarks on abdominal surgery : with the result of 50 cases / by Edward Borck.

  • Mathias Adolph Edward Borck
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: Ovarian tumors, and remarks on abdominal surgery : with the result of 50 cases / by Edward Borck. 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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    OVAKIAN l>KOPSY. The tumor is most prominent upon one side, save in advanced stages. The tumor remains prominent and glob- ular in all positions of the body. The tumor is locally fluctuant. The tumor begins in one iliac fossa. The percussion is dull in front when the patient lies upon her back, but is tympa- nitic, from displaced intestine, at the sides. Is constant and not affected by attitude. Palpitation detects an oval outline and an irregular surface to the tumor. The cervix of uterus is normal in posi- tion. The health is genei'ally good until the tumor becomes large. If present, oedema of the limbs follows the advent of tumor. Aortic pulsation may be transmitted. No apparent cause exists. Normal color and moisture of the skin exist. A8CITKS. The tumor is uniform and symmetrical. The tumor Jlatlais and increases in its breadth on lying down. The tumor fluctuates through the entire abdomen. The tumor begins symmetrically from below. The percussion is resonant in front of ab- domen, when patient lies on the back, as the bowel floats; but is flat at the sides of the abdomen. Is variable, and is affected by attitudes of patient and by amount of fluid present. No circumscribed outline to tumor or ir- regularity of surface is discovered. The cervix is frequently displaced. The health is usually impaired from the commencement. It often precedes the ascites. Aortic pulsation is never present. Hepatic, cardiac, or renal disease often co-exists. The skin is often jaundiced and is fre- quently dry like parchment. Rajiney. FLUID DRAWN BY ASPIRATOR REVEALS: OVARIAN FLUID. ASCITES. Microscope may reveal: Epithelial cells; oil globules; granular matter; cholesterine; ovarian granular cells; blood cello; Pus cells; Gluge’s in- flammatory corpuscles. Microscope reveals: Pus cells; oil globules; amoeboid bodies; squamous epithelium. {Drysdale.) \ HEALTHY Al>INIOTIC FLUID Is a thin pale straw-colored fluid, turbid and flocculent, has a peculiar odor—deposit occurs—on standing, its chemical character is alkaline, specific gravity: ioo$-ioio—con- tains no fibrin; but albumen, acid acet clouds it, becomes opaque on boiling. Micro- scope reveals: Epithelial cells; small tesellated cells, with oil globules and flacculi. Ether dissolves the last. FLUID DRAWN BY ASPIRATOR'^REVEALS: OVARIAN. ASCITES. Amber or brown color. Not spontaneously coagulable. Specific gravity lOiS to 1024. Paralbumen and metalbumcn. Light straw-colored. Spontaneously coagulable if fibrinous. Specific gravity, 1010 to 1015.
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