The diseases of women : a handbook for students and practitioners . ention occurs in the same order asabove, first the vagina (E) and then the uterus (F) beingaffected. The lower portion of the vagina, if present, ispatulous. III. Atresia of the Os Externum.—The vagina re-mains normal, and haematotrachelos first occurs (G). It isprobable that considerable distention may take place herewithout the body of the uterus sharing in it. Later,haematometra and hematosalpinx may follow. IV. Atresia of the Os Internum.—The cervix, aswell as the vagina, remains free, and a pure haematometrais found (//).
The diseases of women : a handbook for students and practitioners . ention occurs in the same order asabove, first the vagina (E) and then the uterus (F) beingaffected. The lower portion of the vagina, if present, ispatulous. III. Atresia of the Os Externum.—The vagina re-mains normal, and haematotrachelos first occurs (G). It isprobable that considerable distention may take place herewithout the body of the uterus sharing in it. Later,haematometra and hematosalpinx may follow. IV. Atresia of the Os Internum.—The cervix, aswell as the vagina, remains free, and a pure haematometrais found (//). As a congenital condition, this is rare. V. Atresia affecting One Half of a Double Uterusor Vagina.—Changes occur in the same order as in the 68 MENSTRUAL PRODUCTS IN ATRESIA. 69 case of the undivided organs; when the atresia concernsthe second vagina, haematocolpos is first found, the cysticswelling extending either down to the vulva (/) or onlypart of the way, by the side of the patent vagina (/).Haematometra follows (K\ or it occurs alone if the atresia. D R F Fig. 24.—Diagram illustrating the effects of atresia of the genital passages (A. E. G.). affects the os externum (L). In the diagram the various forms of atresia in cases of double uterus are represented as affecting the uterus bicornis; but similar conditions are found in connection with uterus septus and uterus didelphys. Secondary Changes—The dilated walls of the vagina, 7o DISEASES OF WOMEN. uterus, or Fallopian tubes become thinned out; the contrastbetween healthy and distended walls is well seen in theuterus itself, where the endometrium suffers considerableatrophy, and the muscular coat is thinned. This thinning
Size: 1519px × 1644px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjectgen, booksubjectwomen
