File:A system of gynecology (1887) (14779853111).jpg

Identifier: system01mann (find matches)
Title: A system of gynecology
Year: 1887 (1880s)
Authors: Mann, Matthew D. (Matthew Darbyshire), 1845-1921
Subjects: Women
Publisher: Philadelphia, Lea brothers & co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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nation showed that the superficial layer and the mucouswere composed of glandular tubules, epithelial lining, and detritus mixedwith numerous red blood-corpuscles, innumerable leucocytes, and a few pus-corpuscles. The right ovary measured 1 cm. in length, 1..*) cm. inheight, and 0.3 in thickness; the left was 3.5 long, 1.5 high, and 0.25thick. These long and high but thin ovaries showed notches andpuckerings, as those of a senile woman. In the left was found a freshly-ruptured follicle in the first stage of transition into a corpus hiteum.Microscopical examination showed nearest the surface a zone of youngfollicles, and in the deeper layers much larger follicles, while thestroma was remarkable for its richness in blood-vessels comparedwith that of another child of the same age. B. Arrest of Development during the First Half ofIntra-uterine Life.I. Absence of the Uterus.—It has often been claimed that theUterus was absent in cases in which such an assertion was not warranted Fig. 80.
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o. ribbon-shaped rudiment of the uterus: 6,6, the round ligaments; e, <\ Fallopian tube?: <i.d,ovaries. (From Kussmaul, after Nega.) In-the examination. All observations which regard living persons mustbe eliminated, as the womb may be so rudimentary as to escape detec-tion even by the most skilful examiner. The total absence of the womb All REST OF DEVELOPMENT. 241 can only be proved by a careful post-mortem examination ; and eventhen the observer is liable to be led astray. He must especially thinkof the possibility that the supposed woman be really a man with femaleexternal genitals and hidden testicles. lie must furthermore distin-guish a rudimentary uterus from a Fallopian tube, the limit betweenthe two being the point of insertion of the round Ligament. The com- Fig. 81.

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