. The diagnosis of diseases of women . into the tube. At the juncture of the horn and the tube theround ligament is given off. There is no fundus. The vagina andcervix are small, and may be divided partially or completely by aseptum. The ovaries and tubes may be rudimentary or absent;so, also, the bladder and kidney may be undeveloped, or there maybe absence of the kidney on the side opposite the single horn. Thecervix is small and the virgin vagina is narrow. The deformity isdifficult to distinguish clinically from the infantile uterus. Thelateral deflection of the uterus is highly suggestive
. The diagnosis of diseases of women . into the tube. At the juncture of the horn and the tube theround ligament is given off. There is no fundus. The vagina andcervix are small, and may be divided partially or completely by aseptum. The ovaries and tubes may be rudimentary or absent;so, also, the bladder and kidney may be undeveloped, or there maybe absence of the kidney on the side opposite the single horn. Thecervix is small and the virgin vagina is narrow. The deformity isdifficult to distinguish clinically from the infantile uterus. Thelateral deflection of the uterus is highly suggestive. Sterility is the rule, though pregnancy in a rudimentary horn ispossible. Amenorrhoea is common, but the menstrual functions mayproceed regularly. Where pregnancy exists in a rudimentary hornwe have to deal with a condition not unlike tubal pregnancy in its DIAGNOSIS OF MALFORMATIONS OF THE UTERUS 207 clinical aspect. The dangers of rupture and of hemorrhage arethe same. There is no way of making a distinction between these Fig. 61. Uterus unicornis: L H, left horn; L T, left tube; L o, left ovary; R R, right horn; R T,right tube; R o, right ovary; B L r, right round ligament; L L r, left round ligament.(Mann.) Fig. 62
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