Treatise on gynaecology : medical and surgical . this represents thehymen; it is most often, however, a terminal imperforation of thevagina or an adhesion between its walls, and the hymen, distendedby the accumulation of fluid behind it, is simply applied to the mem-brane, and may be separated from it after evacuation of the haemato-colpos.^ Duncan ^^ has often found a circular hymen in such cases MALFORMATIONS OF THE VULVA, AISTD HERMAPHEODISM. 447 where atresia was claimed, and lias described an excellent ^^ expressly mentions this error, and has discovered at thelower porti
Treatise on gynaecology : medical and surgical . this represents thehymen; it is most often, however, a terminal imperforation of thevagina or an adhesion between its walls, and the hymen, distendedby the accumulation of fluid behind it, is simply applied to the mem-brane, and may be separated from it after evacuation of the haemato-colpos.^ Duncan ^^ has often found a circular hymen in such cases MALFORMATIONS OF THE VULVA, AISTD HERMAPHEODISM. 447 where atresia was claimed, and lias described an excellent ^^ expressly mentions this error, and has discovered at thelower portion of the obturating membrane the opening of the hymenfor which it was mistaken. There are cases, however, where thehymen forms a complete septum, as in one reported by Godefroy,^*where the mucus which accumulated behind it in the vagina of aninfant of two months had produced compression of both rectum andurethra. Cases of the greatest interest have been published which showvery clearly the close relation between the different parts of the hy-. FiG. 143.—Vulva and Vagina Opened on the Side in a Fcetus of Eight Months. The vaginal foldsare seen to be continuous with those on the cervix and the posterior surface of the hymen, ca, Anteriorcolumn of the vagina; cp, posterior column; c, clitoris; b, fraenum vestibuli; pi, nymphs; gl, labiamajora; mu, urinary meatus; h, hymen; u, uterus; cu, cervix uteri. men, and the ring which surrounds the meatus. In the normal con-dition there is often a prolongation in the form of a valve or uvulawhich covers the meatus in part, and cases have been observed wherethere was a very distinct hymen provided with fringes covering themeatus; ^^ and at times the hymen has entirely covered this orifice,causing a retention of the urine in the new-born.^^ This is a superfi-cial atresia which might be called imperforate urethral hymen.^^ Itshould not be confounded with aplasia of all or a part of the urethrawhich may exist by itself, or with persistence o
Size: 2159px × 1157px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdec, booksubjectgynecology, booksubjectwomen
