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Updated: May 27, 2025
It was decided to open the abdominal cyst; the incision was followed by a gush of blood and a placenta came into view, which was extracted with a living child. To the astonishment of the operators the uterus was distended, and it was decided to open it, when another living child was seen and extracted. The cyst and the uterus were cleansed of all clots and the wound closed.
Ganglia in the substance of tendons are rare. The diagnosis rests on the observation that the small tumour is cystic, and that it follows the movements of the tendon. The cyst is at first multiple, but the partitions disappear, and the spaces are thrown into one. The tendon is so weakened that it readily ruptures. The best treatment is to resect the affected segment of tendon.
The removal of wens is to be recommended while they are small and freely movable, as they are then easily shelled out after incising the overlying skin; sometimes splitting the cyst makes its removal easier. Local anæsthesia is to be preferred. It is important that none of the cyst wall be left behind. In large and adherent wens an ellipse of skin is removed along with the cyst.
At its base, was a flabby, fluctuating cyst. In cutting into it, the lump was found to be breaking up by decomposition, and scenting badly. Every thing else normal. Was not the cyst broken through by some accident, thus letting in the air, when she grew worse? Would she not, probably, have overcome this disagreeable accident, and recovered, in spite of it?
It is possible, however, that the cyst may originate from a minute portion of synovial membrane being protruded and strangulated so that it becomes disconnected from that to which it originally belonged; it may then degenerate and give rise to colloid material, which accumulates and forms a cyst.
The literature of dermoid cysts is full of accounts of puzzling tumours met with in all sorts of situations. The treatment is to remove the cyst. When it is impossible to remove the whole of the lining membrane by dissection, the portion that is left should be destroyed with the cautery. Ovarian Dermoids.
The treatment is to excise the cyst completely, or to inject into it a 1
There was subsequently at attack of inflammatory fever, followed by tumefaction of the abdomen, convulsions, and death on the ninth day. The fetus had been contained in the peritoneal coat of the ovary until the fourth month, when one of the feet passed through the cyst and caused the fatal result.
There, from abbey and from church, from cyst and from shrine, had been collected all the relics of human nothingness in which superstition adored the mementos of saints divine; there lay, pell mell and huddled, skeleton and mummy the dry dark skin, the white gleaming bones of the dead, mockingly cased in gold, and decked with rubies; there, grim fingers protruded through the hideous chaos, and pointed towards the living man ensnared; there, the skull grinned scoff under the holy mitre; and suddenly rushed back, luminous and searing upon Harold's memory, the dream long forgotten, or but dimly remembered in the healthful business of life the gibe and the wirble of the dead men's bones.
Cullingworth reports the history of a woman in whom both ovaries were apparently involved by dermoids, who had given birth to 12 children and had three miscarriages the last, three months before the removal of the growths. The accompanying illustration, taken from Baldy, pictures a dermoid cyst of the complicated variety laid open and exposing the contents in situ.
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