. American journal of obstetrics and gynecology. rtumuteri which are of such a standing that they must have occurred daysbefore labor was tei-minated and he feels that there must be a closeconnection between these changes and the presence of so-called placentalinfarcts. Further, Whitridge Williams in 1917, in a histological studyof 50 uteri removed at cesarean section, in discussing vascular changesof the decidual basalis and the subjacent muscularis mentions the pres-ence of certain fibrinoid tissue and certain hyaline structures of bizarre ?Read at the Meeting of the AVashington University M
. American journal of obstetrics and gynecology. rtumuteri which are of such a standing that they must have occurred daysbefore labor was tei-minated and he feels that there must be a closeconnection between these changes and the presence of so-called placentalinfarcts. Further, Whitridge Williams in 1917, in a histological studyof 50 uteri removed at cesarean section, in discussing vascular changesof the decidual basalis and the subjacent muscularis mentions the pres-ence of certain fibrinoid tissue and certain hyaline structures of bizarre ?Read at the Meeting of the AVashington University Medical Society, St. April in. 1923. From the Department of Obstetrics, Washington UniversitySchool of Medicine. 156 THE AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY outline in collapsed vessels. He mentions that since 1910 these havebeen extensively studied by Frankl and Stolper, Schickele, Heckner,Hinselman and others, but no general agreement has been reached asregards their mode of production, although the prevailing opinion is. Fig. 1.—Ob. Path. No. 2352. Orccln-Van Gleson Stain. Uterus twelve days post-partum. Picture shows a group of arteries In various stages of degeneration. Theupper vessels show practically the same stage. The internal elastic membrane Isseen as a swollen, blacklsh-rcd, irregular band, with marked swelling of the some places the internal elastic membrane has already become diffused and lostits staining reaction. The two lower show arteries which stain a brick-red,all traces of the internal elastic membrane being lost. SCHWARZ AND MC NALLEY : UTERINE VESSELS DURING PREGNANCY 157 that they are due to the invasion of the vessel walls by fetal elements,with subsequent fibrinoid degeneration. He states that he found thesechanges in twenty-seven of fifty specimens. He was not at that timeprepared to express a definite opinion as to the mode of production ortheir significance, but that within a reasonable time he expects to pu
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