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This lump had air-tubes running through it, which were not yet cut off by suppuration; and in one place, the cyst was perforated by a bronchial tube, letting in the external air to the lump, which was undergoing disorganization, and swelling badly. When cut into, it did not present the red, mottled, organized appearance of those cases with air-tight cysts.
The right lung had nearly one-third of its substance in a condition for the entrance of air; but this portion, even, was so compressed with the water, that a few hours longer would have terminated the case fatally without State aid. This case had not proceeded far enough for the formation of the cyst or pus. In Mr.
Blood extravasated deeply in the tissues gives rise to a firm, resistant, doughy swelling, in which there may be elicited on deep palpation a peculiar sensation, not unlike the crepitus of fracture. It frequently happens that, from the tearing of lymph vessels, serous fluid is extravasated, and a lymphatic or serous cyst may form.
Retention cysts develop when the duct of a secreting gland is partly obstructed; the secretion accumulates, and the gland and its duct become distended into a cyst. They are met with in the mamma and in the salivary glands. Sebaceous cysts or wens are described with diseases of the skin.
Dermoid cysts of the ovary may consist only of a wall of connective tissue lined with epidermis and containing distinctly epidermic scales which, however, may be rolled up in firm masses of a more or less soapy consistency; this variety is called by Orth epidermoid cyst; or, according to Warren, a form of cyst made up of skin containing small and ill-defined papillae, but rich in hair follicles and sebaceous glands.
Harold obeyed the hand that led him like a child; in passing towards the bed, his eye fell upon the cyst which Hilda had given to the old Earl, and a chill shot through his veins. "Gurth," said he, "is not this the morning of the sixth day in which we have been at the King's Court?" "It is the morning of the sixth day."
An ovarian hematoma the size of a large orange was removed from the right side. We washed the intestines quite as one would wash linen, since some of the contents of the cyst had escaped into the abdominal cavity. The abdomen was closed without drainage, and the patient placed in bed without experiencing the least shock. Her recovery was rapid and uneventful.
Even the erector pili muscle and the sudoriparous gland are often found. The hair is partly free and rolled up into thick balls or is still attached to the walls. A large mass of sebaceous material is also found in these cysts. Thomson reports a case of dermoid cyst of the bladder containing hair, which cyst he removed.
On April 30th the fundus of the tumor was 35 cm. above the symphysis and the uterus 11 1/2 cm.; the cervix was soft as that of a primipara at term. Operation, May 2d: Uterus found empty, cavity 14 1/2 cm. long. Median incision in abdominal wall; cyst walls exposed; seen to be very slight and filled with enormous vessels, some greater than the little finger.
On seizing the wall one of these vessels burst, and the hemorrhage was only rendered greater on attempting to secure it, so great was the friability of the walls. The cyst was therefore rapidly opened and the child extracted by the foot. Hemorrhage was restrained first by pressure of the hands, then by pressure-forceps and ligatures.
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