Gynecological diagnosis and pathology . igaments : T. tube. on bimanual examination will be evident. A tumour is found dilatingthe cervical canal or lying in the vagina which, if inversion be recent,has a more rounded form and is of softer consistence and a deeper redcolour than a pedunculated fibroid. The characteristic feature is that thebody of the uterus is not found bimanually, the inverted cup of peritoneumtaking the place of the fundus. After the inversion has existed for someweeks, the surface of the tumour may undergo all the changes of atumour with a constricted base and exposed surf
Gynecological diagnosis and pathology . igaments : T. tube. on bimanual examination will be evident. A tumour is found dilatingthe cervical canal or lying in the vagina which, if inversion be recent,has a more rounded form and is of softer consistence and a deeper redcolour than a pedunculated fibroid. The characteristic feature is that thebody of the uterus is not found bimanually, the inverted cup of peritoneumtaking the place of the fundus. After the inversion has existed for someweeks, the surface of the tumour may undergo all the changes of atumour with a constricted base and exposed surface. It may becomeulcerated and even gangrenous. Fig. 40 is a section of an inverted uterus AFFECTIONS OF THE CERVIX 53 removed by supra vaginal hysterectomy in which the exposed surface ofthe uterus was devoid of mucous membrane, being covered with a dense layer of fibrous tissue without any epithelial covering. The muscularfibre showed marked fatty degeneration, the muscle towards the peritonea]surface being entirely replaced by Fig. 40.—Section of Inverted Uterus removed by Supra-VaginalHysterectomy two months after Confinement. There had been no hemorrhage or other symptoms during the puerperium. Notethat the appendages do not descend into the peritoneal cup, and that the mus-cular wall of the uterus at the bottom of the latter is replaced by a folded layerof fatty tissue. AFFECTIONS OF THE CERVIX. Before considering affections of the mucous membrane of the uterus,and of its muscular wall, we must make a digression to look at that partof the uterus which is known as the Cervix Uteri. It differs from thebody of the uterus anatomically, physiologically unci pathologically. Anatomy.—The cervix projects within the vagina, forming thevaginal portion, in contrast to the supra-vaginal portion above the is free for one-third in front—the shallow anterior fornix, and fortwo-thirds behind—the deeper posterior fornix. Iu front the upper two-thirds of the cerv
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
