Text book of abdominal surgery : a clinical manual for practitioners and students . ium of ovary. (Hepburn.) the broad ligament and pelvic cellular tissue. The pedicle of anovarian tumour consists of that part of the broad ligament to whichthe hilum is attached, along with the cellular tissue, blood vessels,and nerves. It will be easy to understand how, if the part of the — Fallopian tube.—• Parovarium. Sessile ovarian -ji-- tumour. W ^» Round ligament of uterus. - Utero-vesicalpouch. ^^ Cellnlar tissue betweenthe broad ligament. Fig. 22.—Diagrammatic Antero-Posterior Vertical Section of the

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Text book of abdominal surgery : a clinical manual for practitioners and students . ium of ovary. (Hepburn.) the broad ligament and pelvic cellular tissue. The pedicle of anovarian tumour consists of that part of the broad ligament to whichthe hilum is attached, along with the cellular tissue, blood vessels,and nerves. It will be easy to understand how, if the part of the — Fallopian tube.—• Parovarium. Sessile ovarian -ji-- tumour. W ^» Round ligament of uterus. - Utero-vesicalpouch. ^^ Cellnlar tissue betweenthe broad ligament. Fig. 22.—Diagrammatic Antero-Posterior Vertical Section of the Stock Photo
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Text book of abdominal surgery : a clinical manual for practitioners and students . ium of ovary. (Hepburn.) the broad ligament and pelvic cellular tissue. The pedicle of anovarian tumour consists of that part of the broad ligament to whichthe hilum is attached, along with the cellular tissue, blood vessels,and nerves. It will be easy to understand how, if the part of the — Fallopian tube.—• Parovarium. Sessile ovarian -ji-- tumour. W ^» Round ligament of uterus. - Utero-vesicalpouch. ^^ Cellnlar tissue betweenthe broad ligament. Fig. 22.—Diagrammatic Antero-Posterior Vertical Section of the
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Text book of abdominal surgery : a clinical manual for practitioners and students . ium of ovary. (Hepburn.) the broad ligament and pelvic cellular tissue. The pedicle of anovarian tumour consists of that part of the broad ligament to whichthe hilum is attached, along with the cellular tissue, blood vessels,and nerves. It will be easy to understand how, if the part of the — Fallopian tube.—• Parovarium. Sessile ovarian -ji-- tumour. W \^» Round ligament of uterus. - Utero-vesicalpouch. ^^ Cellnlar tissue betweenthe broad ligament. Fig. 22.—Diagrammatic Antero-Posterior Vertical Section of the Broad Ligament,representing a sessile ovarian tumour. The peritoneum is shown by a continuous line,the columnar epithelium of the ovary by a dotted one. (Hepburn.) ovary farthest away from the broad ligament become enlarged,the pedicle is formed, and how it may be even several inches inlength. On the other hand, should the ovary enlarge where itis in connection with the cellular tissue of the broad ligament itis evident that instead of drawing part of the broad ligament. SIGNS AND SYMPTOMS. 319 upwards and into a pedicle, it may push its way between thefolds of the broad ligament itself, and thus become sessile, therebeing no pedicle, the anterior and posterior layers of the broadligament being stretched more or less over the tumour. When the diagnosis of this latter condition comes to beconsidered, it will be understood how a tumour, distending onebroad ligament, will displace the uterus; and it will also beeasily seen that the operation will be a more formidable onethan when there is an ordinary pedicle. These tumours may be divided into single cystic growths,tumours composed chiefly of several cysts, tumours made upprincipally of a mass of small cysts, semi-solid tumours, solidfibroid tumours, dermoid tumours, and malignant tumours.They are unlimited hi size, and with the exception of thedermoids, usually grow rapidly. In describing the symptomsand diagnosis of tumo