. The diagnosis and treatment of diseases of women. Hymen. There is no opening into the vagina and there has beenno menstrual flow. There may or may not be some bulging of the imperforatehymen. If there is much blood collected back of the obstruction, fluctuation may be obtained. Fig. 226 shows theappearance of the vestibule in sucha case. Figs. 227 and 228 give adiagramatic representation of theconditions internally in differentcases. Absence of Vagina. Fig. 229shows the condition of the externalgenitals in a patient with no Vagina (Figs. 230, 231).The opening of the second vagi
. The diagnosis and treatment of diseases of women. Hymen. There is no opening into the vagina and there has beenno menstrual flow. There may or may not be some bulging of the imperforatehymen. If there is much blood collected back of the obstruction, fluctuation may be obtained. Fig. 226 shows theappearance of the vestibule in sucha case. Figs. 227 and 228 give adiagramatic representation of theconditions internally in differentcases. Absence of Vagina. Fig. 229shows the condition of the externalgenitals in a patient with no Vagina (Figs. 230, 231).The opening of the second vaginalcanal may be very apparent or itmay be hardly noticeable on cur-sory inspection. In one of my casesthere was simply an unevenness,that attracted my attention almostby accident. Investigating the slightFig. 227. Hematocoipos, which may result from im- irregularity at the sidc of the vagiiial perforate hymen or from atresia at the lower portion ofthe vagina. The menstrual blood has not yet distendedthe uterus. (Montgomery—Practical Gynecology.).
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