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May 1921


Author Affiliations

From the gynecologic department of the Johns Hopkins Medical School and of the Johns Hopkins Hospital.

Arch Surg. 1921;2(3):443-454. doi:10.1001/archsurg.1921.01110060036003

Adenomyomas of the uterus are becoming more and more frequently recognized.

The diffuse adenomyoma may begin in the anterior or posterior wall of the uterus, but not infrequently the growth forms a definite mantle around the uterine cavity. In time portions of it may be forced into the cavity of the uterus forming submucous adenomyomas, which occasionally are expelled through the cervix.

In other cases a portion of the diffuse adenomyoma may be forced to the outer surface of the uterus, producing a subperitoneal or intraligamentary adenomyoma. Such growths are not very common. I have discussed subperitoneal and intraligamentary adenomyomas of the uterus so fully in a previous publication1 that it would be mere repetition to go into details in the present paper.

During the month of November, 1920, I operated upon three different patients for subperitoneal, pedunculated adenomyoma. In Case 1 the condition was detected in the laboratory,

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