. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. duly soft, and consequently more pliable, the resultbeing that the organ is readily inclined backwards by any undueeffort, or simply by the action of gravity. Subsequently the re- * Fig. 69 represents commencing retroflexion soon after delivery, the uterusbeing still of considerable size. 512 PATHOLOGY AND TREATMENT. duction in the bulk of the uterus goes on, but it retains the shapeimparted to it, and as the patient moves about more and morethe fundus descends still further in the pelvis. The m
. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. duly soft, and consequently more pliable, the resultbeing that the organ is readily inclined backwards by any undueeffort, or simply by the action of gravity. Subsequently the re- * Fig. 69 represents commencing retroflexion soon after delivery, the uterusbeing still of considerable size. 512 PATHOLOGY AND TREATMENT. duction in the bulk of the uterus goes on, but it retains the shapeimparted to it, and as the patient moves about more and morethe fundus descends still further in the pelvis. The mischief isgenerally not detected at first, owing to the slight degree of thedeviation. Profuse menstruation, associated as it is with a looserelaxed condition of an unusually large uterus, predisposes toretroflexion, any accidental circumstance being sufficient to throwthe fundus out of position. Flexion of the uterus may be also determined, as already re-marked, by the presence of fibroid growths in the uterine wall, orattached externally to the uterus, the direction of the deviation Fig. 70.*. depending on the position of the fibroid tumor. Anteflexion isfrequently associated with fibroid tumor in the anterior uterinewall (see Fig. 70). The deviations arising from this cause giverise also to certain very troublesome forms of of the most severe cases of the kind I ever saw, was in alady who had a very small fibroid tumor the size of a nut kernelgrowing just outside the uterus at the antero-lateral aspect, and * rig. 70 shows anteflexion of the uterus with fibroid tumor in the anteriorwall. Case in University College Hospital. FLEXIONS AND VERSIONS OF THE UTERUS. 513 opposite the internal os uteri; there was also lateriflexion in thisinstance. In the flexion of the uterus hitherto considered, the seat of theflexion is about the internal os uteri, but the canal may be flexedbelow this point—in the cervix itself. In this latter deviation weusually find the con
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Keywords: ., bookcentury1800, booksub, booksubjectgynecology, booksubjectwomen
