Papilloma of the Fallopian tube and the relation of hydroperitoneum to tubal disease / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: Papilloma of the Fallopian tube and the relation of hydroperitoneum to tubal disease / by Alban Doran. 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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    The muscular coat of the intestine was laid bare, and several points of continuous suture were applied to the torn edges of the peritoneal investment. The wall of the tumour in the hypogastrium was torn in the separation of the adhesion and some papillary growths were exposed. The mass in Douglas’s pouch was then reached. It was cystic and contained about half a pint of a fluid the colour of a strong infusion of tea. After this fluid had been removed, an attempt was made to separate the connections of the cyst posteriorly, but this was found to be impossible. The cyst was torn open in front and allowed to collapse. It was apparently bilocular and did not contain papillary growths. The mass first exposed was then examined. It ap- peared, after several adhesions had been separated, as a tumour with smooth, dark red walls. When the uterus was reached, I could see that the tumour was the right Fallopian tube, dilated and stuffed with papillomatous material. The relations of the uterine end of the tube and the broad ligament to the tumour were very plainly seen, but the right ovary was embedded in adhesions. The tubal tumour was removed. The peritoneal cavity was thoroughly washed out with warm water, and a drainage-tube was inserted into Douglas’s pouch. The tumour strongly resembled that which was removed in the first case, which is preserved in the museum of the College of Surgeons, Pathological Series No. 4584, and figured in my report in the ‘ Pathological Transactions.’ The papillary masses were rather rougher and harder, some feeling cartilaginous.* One great difference could be * This question of cliondrification was discussed in my paper on the first case. Since its publication, Mr. Eve has discovered a tissue resembling cartilage in hypertrophied fimbriae (see Lawson Tait, “An Undescribed Disease of the Fallopian Tubes,” ‘ Obstetrical Transactions,’ vol. xxv, 1883, p. 249, andMus. R. C. S., Path. Series, Specimen 4584 a). Mr. Eve considers the cartilage-like nodules on the fimbrise to be homologues of the cartila- ginous bodies found near the head of the epididymis. There can be no morphological homology; it would appear more correct to regard them as histologically identical.