File:The diagnosis of diseases of women (1905) (14576583460).jpg

Identifier: diagnosisofdise00find (find matches)
Title: The diagnosis of diseases of women
Year: 1905 (1900s)
Authors: Findley Palmer. (from old catalog)
Subjects:
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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ut a notch in the fundus. The two horns are notalways of equal size, and may not lie on the same plane. A septummay partially or completely divide the cervix and vagina. Oneor both horns may be imperforate. The external genitals areusually normal (Fig. 63). In addition to the anomalies in the development of the genitalorgans there may be maldevelopments of the urinary tract—e. g.,ectopia vesicae, absence of or congenital atrophy of the kidney. BIAGNOSIS OF MALFORMATIONS OF THE UTERUS 209 The behavior of the uterus bicornis is similar to that of theuterus septus. Menstrual disorders are common. Amenorrhoeamay result from atresia of the lower genital tract, or from an Fig. 63 iK^ ^^ J i^^i^^K MMHHK. ^■i^Si ^BSki^i^HlillKwI^MlffiiB ^ 1* ^^1^^ MMkJ^JwSyggSM P ^F Bicornate uterus with bilateral tubo-ovarian abscesses. The specimen was removedpost-mortem. The patient refused operation and died of general suppurative peritonitis.Four children had been born, probably from the larger horn.
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Uterus bicornis unieellis : a, vagina laid open ; b, single cervix; c, c, uterine horns;/,/, round ligaments ; d, d, Fallopian tubes; e, e, ovaries, (Mann.) 14 210 SPECIAL DIAGNOSIS imperforate lumen in both horns of the uterus. The menses mayflow simuhaneously from the two horns or alternately at intervalsof from two to four weeks. When one horn or one-half of a septateuterus is pregnant the opposite side may continue to menstruateor may become pregnant at any time during the period of gesta-tion in the other side. A decidua may form in the non-gravid sideand be discharged at labor. Pregnancy and labor may progressnormally, and uterine contractions occur in both horns. This,however, is not the rule. The uterine contractions are seldomregular and strong; malpositions and malpresentations of the childare common; placenta prsevia and premature detachment of theplacenta may occur at any time, and rupture of the uterus duringlabor is always to be feared. Fig. Go

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