Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . ative diagnosis of a cystoma of the left 146 BENJAMIN RUSH MCCLELLAN ovary with hemorrhage into the cyst. Celiotomy was performed March 24, 1920,through a median incision, and the tumor removed without difficulty. It was some-what larger than a mans fist, very dark in color, and highly congested. The pediclewas tightly twisted. The tumor was monolocular and contained about 1000 c.c. ofoily fluid, sebaceous material, a small tuft of light-brown hair, a fairly well formedlower jaw

Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . ative diagnosis of a cystoma of the left 146 BENJAMIN RUSH MCCLELLAN ovary with hemorrhage into the cyst. Celiotomy was performed March 24, 1920,through a median incision, and the tumor removed without difficulty. It was some-what larger than a mans fist, very dark in color, and highly congested. The pediclewas tightly twisted. The tumor was monolocular and contained about 1000 c.c. ofoily fluid, sebaceous material, a small tuft of light-brown hair, a fairly well formedlower jaw Stock Photo
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Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . ative diagnosis of a cystoma of the left 146 BENJAMIN RUSH MCCLELLAN ovary with hemorrhage into the cyst. Celiotomy was performed March 24, 1920, through a median incision, and the tumor removed without difficulty. It was some-what larger than a mans fist, very dark in color, and highly congested. The pediclewas tightly twisted. The tumor was monolocular and contained about 1000 c.c. ofoily fluid, sebaceous material, a small tuft of light-brown hair, a fairly well formedlower jaw bone, ten well-formed teeth and a few irregular pieces of bone andcartilage. The symptoms were easily accounted for by the torsion of the pedicleand the mechanical interference with the function of the bladder and bowel. Thepatient made a prompt recovery and was discharged from the hospital April 11, 1920. The writer, in reporting this case with its mistaken diagnosis, hasbeen prompted by a desire to emphasize the fact that the mistSke wouldhave been avoided if we had called to our assistance a competent radi-. Fig. 1.—Roentgenogram showing outline of air filled bladder with overlapping shadow of ovariandermoid cyst containing teeth and lower mandible. ographer. The treatment and result would have been the same. But itis always a great gratification to a surgeon, and worthy of his best en-deavor, to have his operative findings agree with his preoperative judg-ment. In submitting herewith a radiographic print of the tumor (Fig. 1), above described, placed as near as possible to the position it had occupied, it is with the single purpose of calling attention to the advantage of anair filled bladder, in order to get a background in sharp contrast to thetumor outline. Finally, it is suggested that in addition to the fore-going, a stereoradiograph of all suspected dermoids would still betterdemonstrate their size, character of content, and relative position. THE TREATMENT OF ABORTIO