Abstract

Much has been written, during the past three or four decades, on the subject of endometriosis. The theories of pathogenesis and clinical considerations of the disease have been repeatedly studied and reviewed so that there is little to add to existing literature except unusual or variant features. The case to be presented is that of an unusually large, hemorrhagic, endometrial cyst which developed in the posterior wall of the cervix uteri, extending posteriorly to form a mass filling the rectovaginal pouch. The unusual site and large size of the cyst make the case almost unprecedented in the literature on endometriosis. REPORT OF CASE The patient was a 50-year-old married woman admitted to Woman's Hospital on the gynecological service of Dr. H. M. Nelson, Aug. 18, 1948. Her chief complaint on admission was acute right lower quadrant and low back pain of two days' duration. On Aug. 16, the dull, persistent

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