File:Clinical gyncology, medical and surgical (1895) (14598029708).jpg

Identifier: clinicalgyncolog00keat (find matches)
Title: Clinical gyncology, medical and surgical
Year: 1895 (1890s)
Authors: Keating, John M. (John Marie), 1852-1893 Coe, Henry Clark, 1856-
Subjects: Women Gynecology
Publisher: Philadelphia, Lippincott
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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bodies, without -evenexternal junction. There are two cervices and two distinct vaginal canals,though the latter always lie in juxtaposition to each other. (Figs. 8 and9.) It was thought at one time that this was an extremely rare varietyof duplex formation in the uterus, but by a more careful examinationof patients during life, and a more careful observation of specimens postmortem, the number of these cases has lately grown considerably, and it is 228 ANOMALIES OF DEVELOPMENT IN THE GENITAL TRACT. a question if many of the examples of uterus bicornis should not be includedunder the heading of double uterus or uterus didelphys. During life the diagnosis of complete separation of the two uterinebodies can be made by the introduction of the sound into each and thedetermination that one moves entirely independently of the other. Uterus Bicornis Duplex.—In this variety of arrested fusion the two bodiesof the uterus are in juxtaposition and are connected externally, but remain Fig. 10.
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Uterus bicornis duplex.—o, double entrance to vagina; 6, meatus urinarius; c, clitoris: d, urethra;e, e, double vagina; /,/, external orifices of uterus; g, g, double cervix; h, A, bodies and horns of uterus;i, i, ovaries; k, k, tubes; I, I, round ligaments; to, m, broad ligaments. internally distinct and apart through their whole length, and are joinedexternally not so much by muscular tissue as by their peritoneal investmentand connective tissue. There are, of course, two distinct uterine cavities,two cervices, and a double vagina. Uterus Bicornis UnicoUis; Bifid Uterus.—In this variety the junctionof the two ducts is quite intimate below, so that there may be a singlecervix without a dividing septum, but directly above this the two uterinehalves diverge sharply from each other. It may not be easy to recognize ANOMALIES OF DEVELOPMENT IN THE GENITAL TRACT. 229 this variety of arrested fusion in the uterine body during life, but the writerhas been able to detect it in several ins

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