. American journal of obstetrics and gynecology. Pig. —Semidiagrammatic drawing of the pelvic abnormality by laparot-omy: The uterus is dextroverted. but normal in size and consistency, an<i symmetri-cal in outline. The right adnexa are normal. The left broad ligament, round liga-ment, tube, and ovary are absent. The bladder assumes its normal relation to theuterus on the right side, but follows the margin of the uterus downward on theleft side to the level of the internal os. where it merges with the parietal adhesions binding the chronically intlrimcd append


. American journal of obstetrics and gynecology. Pig. —Semidiagrammatic drawing of the pelvic abnormality by laparot-omy: The uterus is dextroverted. but normal in size and consistency, an<i symmetri-cal in outline. The right adnexa are normal. The left broad ligament, round liga-ment, tube, and ovary are absent. The bladder assumes its normal relation to theuterus on the right side, but follows the margin of the uterus downward on theleft side to the level of the internal os. where it merges with the parietal adhesions binding the chronically intlrimcd appendix to the right adnexa ay-purposely omitted in the illustr:tti( Kig. J.—Cy.^^ \ i. w of the region of the trigone. The right ureteric orifice isseen in its pnii)er location. The upper limit of the vasculiirizatlon of the trigonislopes gradually toward the left side of the vesical neck. •? • ? — opening and no Inlerurcttric ridge. is no left ureteral adlicsions were cut between clamps and the appendix removed. It was then noticedthat the uterus remained dextroverted despite its release, and that the left broadligament, round ligament, tube and ovaiy wero entirely al>sent. Tlio peritoneumcovering the bladder followed the left margin of the uterus down to the vaginal ALDRIDGE: IXSfFFLATIOX OF UTERUS AXD FALLOPIAN TUBES 53 vault aud then merged with tlic jiariotal poiitoueum, as depicted in Fig. 1. Theleft iliae fossa was empty, except that it might have been occupied by the sigmoidand rectum before they were dislocated upwards by the laiaarotomy gauze left ureter could be paljiated or otherwise identified. The patient


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Keywords: ., bookcentury1900, bookdecade1920, booksubje, booksubjectobstetrics