. The Principles and practice of gynecology : for students and practitioners. e summarized as follows : 1. Distention of the bladder. 2. Increased weight of the uterus and relaxation of the supports —common cause in early puerperium. 3. Retro-uterine peritonitis—contracting adhesions. 046 RETROVERSION AND RETROFLEXION. 647 4. Sucldcn stniiniiii^, violent f:ill, or l)lo\v—rare. 5. Clironu! eystitis, wliieli shortens the vesicovaginal septum hy contraetion—an intraetal)le cause. 6. Small myoma in posterior wall of the corpus uteri. 7. The dorsal position and tight bandaging in the pucrperium. 8.
. The Principles and practice of gynecology : for students and practitioners. e summarized as follows : 1. Distention of the bladder. 2. Increased weight of the uterus and relaxation of the supports —common cause in early puerperium. 3. Retro-uterine peritonitis—contracting adhesions. 046 RETROVERSION AND RETROFLEXION. 647 4. Sucldcn stniiniiii^, violent f:ill, or l)lo\v—rare. 5. Clironu! eystitis, wliieli shortens the vesicovaginal septum hy contraetion—an intraetal)le cause. 6. Small myoma in posterior wall of the corpus uteri. 7. The dorsal position and tight bandaging in the pucrperium. 8. Congenital—rare. Symptoms and Course of Retroversion. The displacement ot retroversion and its numerous complicationsusually cause l)earing-do\vn sensations, a feeling of heaviness in thepelvis, exhaustion upon walking and standing, especially the may be a cause or an effect. After the puerperium theextreme engorgement of the pelvic organs often contributes to hemor-rhagic endometritis. The hemorrhage then should not be confounded Figure Retroversion. with returning menstruation. The bleeding, especially after abortion,unless relieved by treatment, often persists for a long time. Gradualor sudden replacement may occur spontaneously ; or, the causes con-tinuing active, the displacement may persist and even be reinforcedby cystocele and rectocele. There is usually concurrent displacementof the ovaries and Fallopian tubes. Xutritive changes in the uterinewalls may induce a superadded retroflexion. The heavy organ maydescend along the relaxed, subinvoluted vaginal walls even to com-plete procidentia. 648 DISPLA CEMENTS. Diagnosis and Prognosis of Retroversion. The symptoms indicate the probability of displacement, but definitediagnosis depends upon direct examination. Conjoined manipulationwill usually establish the diagnosis and show the organ retroverted,with the cervix displaced toward the pubes and with the corpus inthe hollow of the sacrum.
Size: 1619px × 1544px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
