An ovarian hydrocele may attain considerable size. A case has been reported in which three pints of straw-colored fluid were found in the cyst. An ovarian hydrocele is sometimes intermitting, discharging its contents through the tube into the uterus.
The symptoms of ovarian hydrocele resemble those of a small ovarian cyst or a tubo-ovarian cyst.
The treatment is celiotomy and removal of the tube and ovary, or, when practicable, the liberation of the adherent end of the Fallopian tube.
CHAPTER XXIX.
CYSTIC TUMORS OF THE OVARY.
The histogenesis of cystic tumors of the ovary is not yet definitely settled. Every structure that enters into the composition of the ovary has been supposed to form the starting-point of these tumors. There are many classifications of ovarian cysts based upon the clinical, structural, or genetic features. The classification given here seems to me to be the best we have at present for the practical physician.
Fig. 164.—Diagram representing the cyst-regions of the ovary and broad ligament.
Cystic tumors of the ovary may be divided into two general classes: