File:Gynecological diagnosis (1910) (14775039741).jpg

Identifier: gynecologicaldia00burr (find matches)
Title: Gynecological diagnosis
Year: 1910 (1910s)
Authors: Burrage, Walter L. (Walter Lincoln), 1860-1935
Subjects: Women
Publisher: New York, London, D. Appleton and Company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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d in the lateral or anterior walls ofthe vagina. These cysts are more aptto be cylindrical in shape than per-fectly globular, corresponding in their long axis to the axis of theduct, are filled with a clear straw-colored fluid, and are linedwith cylindrical epithelium. A persistent Miillers duct has been referred to in the chapteron anomalies. A blind end of a misplaced ureter has been knownto form a cyst of the vagina. The diagnosis offers little difficulty. Cystocele, urethrocele, andrectocele must be ruled out, also other tumors of the vagina. Anarjerio-venous aneurism has been mistaken for a cyst of the vagina,also vaginal hernia, or collection of blood in a double vagina. Asound in the urethra or bladder will assist in excluding urethroceleand cystocele, and a finger in the rectum, rectocele. A cystocele or rectocele should increase in density on straining,whereas a cyst does not. A vaginal hernia should transmit animpulse on coughing and has a characteristic doughy feel. It dis-
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Fig. 153.—Inclusion Cystof Vagina Occurring ThreeYears after Repair of a Peri-neal Tear. (Cullen.) NEW GROWTHS OF THE VAGINA 381 appears when the patient is placed in the knee-chest position. Ananeurism should have a thrill. The characteristics of double vaginahave been described in the section on anomalies. Echinococcus cysts of the vagina are very rare and are generallydue to echinococcus colonies in themesometrium burrowing in therecto-vaginal septum. (2) Myomata.—Myomata or fi-broids of the vagina are rare.Some seventy authentic cases havebeen reported in the literature, beingfound in most cases in women be-tween forty and fifty years of age.They occur as small, spherical, hard,nodular tumors, seldom over twoinches in diameter, projecting fromthe vaginal wall into its lumen.They are usually single, but may bemultiple and are not associated withfibroids of the uterus, although acase where both existed in the samepatient has been reported by Fabri-cius (Zentralblatt fur Gyndkolo

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