Adenomyomata, which are derived from the Wolffian body, develop in the posterior portion of a uterine horn, or less often in the tube, and when small, in the peripheral layers of the muscular wall. The tumor may afterward become interstitial or submucous.
These tumors are of various degrees of hardness. They may be dense in consistence, in case the muscular tissue is in excess of the glandular, or they may be soft cystic tumors containing numerous distinct macroscopic cavities. Telangiectatic adenomyomata also occur.
The treatment of adenomyoma of the uterus is hysterectomy.
CHAPTER XXI.
HEMATOMETRA; HYDROMETRA; PYOMETRA.
If there exists in the genital tract any obstruction that prevents the escape of menstrual blood, the uterus will become distended and the condition of hematometra will be present. If the retained fluid consists chiefly of the mucous secretion of the utricular glands, the condition is described as hydrometra; or if suppuration has taken place, so that the uterus becomes distended with pus, the condition is called pyometra.
Fig. 135.—Hematometra.
The uterine walls may be very much attenuated by the distention, or the muscular coat may hypertrophy as the accumulation progresses.