304 DISEASES OF THE UTERUS 



ments. In older animals there is a preponderance of fibrous 

 tissue. They develop gradually within the muscular walls, 

 and project into the lumen of the organ in some cases, while 

 in others the growth is mainly toward the peritoneal cavity. 

 When extensive, and when the growth is toward the lumen 

 of the organ, they may be found projecting through the os 

 into the vagina. They are characterized by their slow devel- 

 opment. 



Symptoms.— The first indication of the presence of fibro- 

 mata will be an increase in the size of the abdomen, simulat- 

 ing pregnancy. However, on examination by palpation, the 

 difference will be apparent at once. Frequently on inserting 

 the finger into the vagina the tumor will be recognized, and 

 it should be observed whether the tumor projects from the os, 

 or is attached to the vaginal wall. No general disturbances 

 are noted, except when the tumor becomes of sufficient size 

 to interfere with the function of the abdominal or thoracic 

 organs. 



Diagnosis. —The enlargement of the abdomen, which comes 

 on gradually, the lack of general symptoms, and the location 

 of the enlargement differentiate it from pregnancy. Further, 

 through laparotomy the uterus may be examined direct. 



Prognosis. —Favorable. 



Treatment. — Surgical.— Surgical interference by complete 

 removal of the uterus and ovaries is indicated. When the 

 tumors are found projecting through the os into the vagina, 

 they should be withdrawn into the abdominal cavity and 

 extirpated. 



Myomata.— In myomatous tumors of the muscular walls 

 of the uterus, the symptoms, diagnosis, and treatment are 

 the same as for fibromatous. 



Hydrometra.— Definition.— A collection of transudate or 

 other sterile fluid in the uterus. 



Etiology.— Occlusion of the cervix, or any portion of the 

 uterus which prevents the escape of fluid. 



Inflammation of the cervix (endocervicitis) resulting from 

 wounds and injuries during parturition. 



Pressure of inguinal hernia producing occlusion. 



It may be produced by ligation of the uterus, as' is done 



