Several months ago, Dr. Frank R. Smith asked me to see a woman who had a kidney-shaped tumor slightly below and to the right of the umbilicus. The patient had noticed a small lump in this situation several years before, which for a long while had remained quiescent but during the last year had gradually increased in size. At operation it was found to be a partly solid, partly cystic tumor of the ovary lying external to the abdominal muscles, the tumor and its surrounding sac being covered over with a small amount of adipose tissue and the skin. The pedicle of the tumor passed through a hernial ring to the outer side of the right rectus and obliquely across the lower abdominal cavity to what corresponded to the normal insertion of the right uteroovarian ligament.
I have been unable to find any reference to a similar case in
CULLEN TS. AN EXTRA-ABDOMINAL MULTILOCULAR OVARIAN CYST. JAMA. 1911;LVII(16):1251–1255. doi:10.1001/jama.1911.04260100077001
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