A Text-book of Diseases of WomenPenrose, Charles B. (Charles Bingham)
Science
A Text-book of Diseases of Women
Penrose, Charles B. (Charles Bingham)
Women -- Diseases
The ovary is composed of connective tissue which surrounds the Graafian
follicles, blood-vessels, lymphatics, nerves, and unstriped muscular
fibers. The posterior portion, or the free portion of the ovary, is
covered with the germinal epithelium, or modified peritoneum, which is
continuous with the peritoneum of the broad ligament.
The ovary is divided into two portions, which present distinct
anatomical, physiological, and pathological differences.
The _oöphoron_ is the egg-bearing portion of the ovary. It corresponds
to the free border of the gland.
The _paroöphoron_ corresponds to the hilum of the ovary--that portion
in relation with the broad ligament.
The paroöphoron contains no ovarian follicles. It is composed of
connective tissue and numerous blood-vessels. In the paroöphoron of
young ovaries remnants of gland-tubules--vestiges of the Wolffian
body--may be found.
_Accessory ovaries_ have been described by several writers, and their
existence has often been assumed to account for the persistence of
menstruation after a supposed complete salpingo-oöphorectomy. It is
very doubtful if a true accessory ovary has ever been found. Bland
Sutton says: “As the evidence at present stands, an accessory ovary
quite separate from the main gland, so as to form a distinct organ, has
yet to be described by a competent observer.” It is probable that the
bodies that have been described as accessory ovaries have been more or
less detached portions of a lobulated ovary, or small fibro-myomatous
tumors of the ovarian ligament. Abdominal surgeons have had opportunity
of examining thousands of ovaries at operation, and yet I know of no
one who has come across a third ovary.
CHAPTER XXVIII.
DISEASES OF THE OVARIES (Continued).
HERNIA OF THE OVARY.
Hernia of the ovary may take place through the inguinal ring.
Congenital hernia of the ovary is extremely rare. Bland Sutton says
that there is no properly authenticated case. Notwithstanding the
frequency of congenital hernia in infants, the ovary has not been found
in the hernial sac at birth.
In cases that have been reported as congenital hernia of the ovaries
the structures have, on microscopical examination, been found to be
testicles, the individual being hermaphroditic.
Acquired hernia of the ovary is of not infrequent occurrence. The ovary
may occupy the hernial sac alone or along with other structures.
Ovulation may occur normally, and conception may take place. A true
corpus luteum has been found in an ovary contained in a hernial sac.
The ovary may remain in the inguinal ring or may pass into the labium
majus. In some cases no trouble whatever arises from this displacement.
Hernia of the ovary has been found accidentally at autopsy, having been
entirely overlooked during life. In other cases swelling and severe
pain may be experienced at the menstrual periods.
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