. Atlas and epitome of gynecology . Fig. 10.—Atresia vaginaliswith uterus and vagina duplex ;left-sided partial hematocolpos,hematometra, hematosalpinx(both the internal and the exter-nal os may be recognized). also be encountered in cases of uterus bicornis. ( to 11.) ATRESIAS. 25. Fig. 11.—Atresia of the ex-ternal orifice of a bicornateuterus ; left-sided hernatometra,hematosalpinx. Symptoms.—The symptoms of the genital atresiasvary, and appear at different periods of life, according totheir nature. Every new-born child should be care-fully examined as to the per-meability of the ureth
. Atlas and epitome of gynecology . Fig. 10.—Atresia vaginaliswith uterus and vagina duplex ;left-sided partial hematocolpos,hematometra, hematosalpinx(both the internal and the exter-nal os may be recognized). also be encountered in cases of uterus bicornis. ( to 11.) ATRESIAS. 25. Fig. 11.—Atresia of the ex-ternal orifice of a bicornateuterus ; left-sided hernatometra,hematosalpinx. Symptoms.—The symptoms of the genital atresiasvary, and appear at different periods of life, according totheir nature. Every new-born child should be care-fully examined as to the per-meability of the urethra andanus. This is frequentlyneglected, and anal atresia,or even complete closure ofthe urethra, is discoveredonly after days, either byaccident or through symp-toms of retention. The hymen also deservesattention, for although atre-sia in this situation is usually first discovered at puberty,there are recorded cases in which the menses had never appeared, owing to the pres-ence of this anomaly, andyet the condition remainedunrecognized until thepatient assumed the maritalrelation. The cardinalsymptom of all genital atre-sias, with the exception ofthose cases of uterus bi-cornis in which one sideis patulous, is nonappear-ance of the menses. In-creasing distention of thegenital
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