Cyclopædia of obstetrics and gynecology . e-mentioned fold upon the anterior and posterior wall has some-thing to do with it, but we will say more about this when we consideruterus didelj)hys. The physiological processes are the same as in uterus bicornis. Onecase exists, reported by W. B. D. Blackwood, in which menstruationoccurred alternately from one and the other cavity: The patient, twenty-two years old, complained of pains in the lefthypochondrium, Avhich became quite severe at every other period. Ex- 232 DEVELOPMENTAL ANOMALIES OF THE UTERUS. amination showed a hymen with two openings,
Cyclopædia of obstetrics and gynecology . e-mentioned fold upon the anterior and posterior wall has some-thing to do with it, but we will say more about this when we consideruterus didelj)hys. The physiological processes are the same as in uterus bicornis. Onecase exists, reported by W. B. D. Blackwood, in which menstruationoccurred alternately from one and the other cavity: The patient, twenty-two years old, complained of pains in the lefthypochondrium, Avhich became quite severe at every other period. Ex- 232 DEVELOPMENTAL ANOMALIES OF THE UTERUS. amination showed a hymen with two openings, two completely dividedvaginal and uterine cavities, and a single corpus. In twelve consecutivemenstrual epochs he observed that hemorrhage occurred alternately fromone or the other uterine cavity. The dysmenorrhoic symptoms of theleft ovary were specially well marked when hemorrhage occurred fromthat side. Only twice did the flow come twice in succession from the leftcavity. Here also the imperforate half may become distended with blood,. Fig. .35.—Puerperal Uterus Bilocularis. (After Spof/i.) o, Rifi^ht loculus, which containedthe ovum; /j, left empty loculus; c, sound passed through the cervix of the empty half into thevagina; /, partition wall of the uteinis; </, vaginal septum. mucus or pus, and the same results ensue as in the case of the bicornedwomb. The same may be said about cohabitation and conception. Ifpregnancy occurs, the non-gravid half of course participates in the gen-eral hypertrophy, and it becomes almost as large as the pregnant cavity also is lined with a decidua. The pregnancy is rarely interrupted, and the fretus, save in miscar-riages and the transition forms to uterus bicornis unicorporeus, is verti-cal, and with the head presenting. The pregnant portion is not displaced. THE TWO-CHAMBERED UTERUS. 288 nor does tlio non-gravid part interfere. Only the partition wall itselfmay give rise to trouble; it may be necessary to tear it in extracti
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