American Journal of Obstetrics and Diseases of Women and Children (Volume 51) (Paperback)

Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: were peeled off the tumor. We finally came to the point of firm attachment of the tumor to the pancreas near its left extremity. By exercising considerable care, the tumor was stripped off the pancreas without tearing into the glandular structure of the organ. Very little bleeding resulted from the enucleation. Three or four arteries were tied with fine catgut. The cavity left by the removal of the tumor was closed by a series of fine catgut stitches. On enucleating the tumor the source of the fluid that escaped Fig. 4.?Portion of small secondary cyst filled with granular matter. through the incision as we opened the abdomen was found, and also the reason we failed to obtain fluid by aspiration. The fluid was too thick to enter the syringe point, and the opening made by the puncture of a fine hypodermic needle had not closed, but had enlarged and had allowed a gradual escape of a small amount of fluid into the peritoneal cavity. Some of this fluid was found in the pelvic cavity, and was sponged out by carrying the gauze sponge down into the pelvis. On account of this leakage of thefluid, which I thought to be from a hydatid cyst, the abdomen was thoroughly irrigated with a normal salt solution and the pelvis was again mopped and dried with sponges. The tumor was examined by Dr. Wynn, whose statement is herewith given, and also photographs of the tumor, and drawings from slides showing the cyst walls and acini. Dr. Wynn's Pathological Report.?"The tumor submitted for examination is smooth, round, and about the size of a child's head Fig. 5.?Showing (a) fibrous wall, (6) well-formed cysts and (c) beginning cystic change in acini. at birth. The largest diameter is about six inches. There is a dense fibrous tissue capsule, varying from one to four millimeters in thic...