A textbook of obstetrics . Fig. 413.—Laceration of lower uterine segment: a, Right ovary ; />, rectum ;c, laceration ; </, left tube (Winckel). in the sac thus formed between the peritoneum and the body ofthe uterus the placenta may lie concealed, or even the fetus maybe contained. There may be an enormous subperitoneal hema-toma or profuse intraperitoneal hemorrhage. The tear may runupward toward the fundus, or may extend so far transversely asalmost to sever the upper and lower uterine segments. The rentmay extend through the mucous and muscular coats without in-volving the peritoneum.
A textbook of obstetrics . Fig. 413.—Laceration of lower uterine segment: a, Right ovary ; />, rectum ;c, laceration ; </, left tube (Winckel). in the sac thus formed between the peritoneum and the body ofthe uterus the placenta may lie concealed, or even the fetus maybe contained. There may be an enormous subperitoneal hema-toma or profuse intraperitoneal hemorrhage. The tear may runupward toward the fundus, or may extend so far transversely asalmost to sever the upper and lower uterine segments. The rentmay extend through the mucous and muscular coats without in-volving the peritoneum. The latter, in rare cases, may alone be 1 Koblanck {he. <it.) gives the following causes in So cases : Contracted pelvis,8; transverse position of fetus, 7; other abnormal positions, 4; hydrocephalus, 4;overgrowth of child, 1 ; misfit of presenting part in pelvis, administration of ergot,i; violence, 5; version, 29; Hofmeiers grip, I; forceps, 11 ; decapitation, i;myoma, 546 THE PAll 10LOGY OF Fg- 4M-—Transverse or semicircular tear of the lower uterine segment.
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
