. American journal of obstetrics and gynecology. 20 THE AMERICAN JOIKXAL OP OBSTETRICS AXD GYNECOLOGY —Uterus , left istlinuis oeclinleil, liglit tube ipiulapscd, right fim-bria occluded. Case 3.—C. W., No. 26966, occluded, age twenty-seveu years, married five years,husband had two children by his first wife; patient was told she had salpingitis eightyears ago. Has had a vaginal discliarge for two years. Uterus small, antertcxed, re-trocessed adnexae negative. Eadiogram.— (Kg. 13.) Uterus small, the axis of the body of the uterus makes anacute angle with tlie canal of th
. American journal of obstetrics and gynecology. 20 THE AMERICAN JOIKXAL OP OBSTETRICS AXD GYNECOLOGY —Uterus , left istlinuis oeclinleil, liglit tube ipiulapscd, right fim-bria occluded. Case 3.—C. W., No. 26966, occluded, age twenty-seveu years, married five years,husband had two children by his first wife; patient was told she had salpingitis eightyears ago. Has had a vaginal discliarge for two years. Uterus small, antertcxed, re-trocessed adnexae negative. Eadiogram.— (Kg. 13.) Uterus small, the axis of the body of the uterus makes anacute angle with tlie canal of the cervix. Xo right tube visible. A blurred ampullaof the left tube appears with a small canal leading to the uterine cavity. Eadiogram.—Three weeks later, no shadow. Diagncsis:—Anteflexion of the uterus; right isthmus occluded, left fimbria occluded. Operative Diagnosis.—S/S/22. The right tube was closed at its fimbria, the fimbriabeing turned down and attached to the posterior wall of the broad ligament by a. small adhesion. The right isthmus, for a length of ahmit 2 cm., was extremely smalland had a core-like canal about 1% mni. in diameter. The left tube was closed atthe fimbria, this fimbria being spread out over an ovarian cyst aliout 4 diam-eter and attached by an adhesion to the posterior wall of the broad ligament. Therewere a few filmy adhesions from the cervix to tlie posterior wall of the culdesac butthese were not drawing the uterus backward. The uterus was normal in position andthe anteflexion was not noted at the operation. It is probable that the uterine mus-culature nuiy have relaxed under anesthesia allowing the anteflexion to disappear. Case 6.—A. G., Xo. 31197, oechided, age twenty-four years, married four years,never pregnant. Husband not examined. Her complaint was not sterility but painfulmenstruation for four years. Uterus anteflexed and retrocessed. At operatioa 10/16/-22 it was found that the axis of the cervix was inclined about T.
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