. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. rising from this cause giverise also to certain very troublesome forms of of the most severe cases of the kind I ever saw, was in alady who had a very small fibroid tumor the size of a nut kernelgrowing just outside the uterus at the antero-lateral aspect, and * rig. 70 shows anteflexion of the uterus with fibroid tumor in the anteriorwall. Case in University College Hospital. FLEXIONS AND VERSIONS OF THE UTERUS. 513 opposite the internal os uteri; there was also lateriflexion
. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. rising from this cause giverise also to certain very troublesome forms of of the most severe cases of the kind I ever saw, was in alady who had a very small fibroid tumor the size of a nut kernelgrowing just outside the uterus at the antero-lateral aspect, and * rig. 70 shows anteflexion of the uterus with fibroid tumor in the anteriorwall. Case in University College Hospital. FLEXIONS AND VERSIONS OF THE UTERUS. 513 opposite the internal os uteri; there was also lateriflexion in thisinstance. In the flexion of the uterus hitherto considered, the seat of theflexion is about the internal os uteri, but the canal may be flexedbelow this point—in the cervix itself. In this latter deviation weusually find the concavity forwards, and the os uteri has an incli-nation upwards and forwards. This condition is one not uncom-monly associated with sterility. Fig. 71, a drawing of a prepa-ration in University College Museum, well represents the conditionhere alluded to. Fig. The symptoms produced by flexions and versions of the uterusare next to be considered. In retroflexion we find them mostmarked. Here they are not always present in the same bearing-down sensation is more or less constantly is very generally present a severe form of backache, sointense and unceasing sometimes as to produce great torture to thepatient. The backache is increased by every kind of exertion,but especially by walking or standing, and not seldom even thesitting posture cannot be maintained for more than a few in the ovarian region or in the groins is often pains in the thighs are often observed, but more fre-quently a troublesome pain down the back of the leg or thigh isnoticed, and generally more to one side than the other, owing tothe fact that the displacement is rarely quite in the middle suffering due to this
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