Identifier: tristatemedicalj2189ball (find matches)
Title: Tri-State medical journal
Year: 1895 (1890s)
Authors: Ball, James Moores, 1863-1929
Subjects: Tri-State Medical Society Medicine
Publisher: St. Louis : (s.n.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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uctuating tumour near the uterusis an ovarian cyst. Hence serous perimetritis has often been taken for anovarian cyst. It is especially likely to be taken for an ovarian cyst if it isabove the uterus, and not in the pelvic cavity ; but it may, when in the pelvis Serous Perimetritis-Herman. 121 be mistaken for a cyst. Operation has often been advised for tumours whichproved to be serous perimetritis. The points in diagnosis are these : (1) In serous perimetritis the forma-tion of the tumour is preceded by symptoms of inflammation—pelvic painand fever. Small ovarian tumours cause neither pain or fever. (2) Thetumour formed by serous perimetritis is fixed ; a small ovarian tumour ismoveable. (3) The tumour of serous perimetritis is usually bounded infront by coils of bowel matted by adhesions ; therefore it is generally reson-ant on percussion, while an ovarian tumour is dull. Attention to thesepoints will, in most cases, prevent serous perimetritis being mistaken for anovarian tumour.
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Drawing from Nature of a Perimetric Effusion in front of and above Uterus. By Permission of Dr. W. S. Griffith. a Cavity. e Fluid pressing down between uterus and bladder. b Bladder. / Broad Ligament, c Cystic Ovary. # Ureter. d Uterus. x Point where Fallopian tube was adherent. Complex cases. But cases occur in which it is impossible to immediate-ly say whether a pelvic tumour is ovarian or due to serous perimetritis. Per-imetritis may occur in a patient who has an ovarian tumour. Then the tu-mour will be fixed; there will be a history of pain and fever ; bowel maybecome adherent in front of the tumour, or the contents of the tumour maydecompose and liberate pus, and the tumour will then become resonant in 122 Original Articles. front. In such a complex case the only criterion is the effect of treatment.Keep the patient in bed for a fortnight, and let the abdomen be painted dailywith tr. iodi. If the tumour is ovarian, no difference will be produced; ifit be serousperimetritis, at th

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