. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. r as in the per-fectly developed uterus, but the whole organ perhaps isstill deficient in size and possesses walls of abnormal thin-ness, while the plicae palmat£e pass well up into the cavityof the corpus (uterus infantilis). All these forms areclosely allied with one another, and with the least pro-nounced types of congenital malformation on the onehand and the normal adult uterus on the other. Theterm hypoplasia uteri may be used to include them all. As a rule
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. r as in the per-fectly developed uterus, but the whole organ perhaps isstill deficient in size and possesses walls of abnormal thin-ness, while the plicae palmat£e pass well up into the cavityof the corpus (uterus infantilis). All these forms areclosely allied with one another, and with the least pro-nounced types of congenital malformation on the onehand and the normal adult uterus on the other. Theterm hypoplasia uteri may be used to include them all. As a rule, some of theremaining elements ofthe genital system showslight errors in develop-ment, and the ovariesare not infrequently ru-dimentary, or are some-times entirely heart and the restof the vascular apparatusmay likewise be unde-veloped. Etiology.—Hypoplasiauteri cannot with justicebe called a purely con-genital condition. It istrue that during the finalmonths of embryonallife injurious influences,such as constricting pe-ritoneal adhesions, mayprevent a uterus almostcompletely formed fromattaining anatomical per-. Fig. 4361.—Foetal Uterus, Natural Size. (After Kussmaul.) fection. But unhealthy systemic states (associated withdisease of the vascular or nervous system) during infancyor childhood, and lack of ovarian stimulation when theseglands are absent or rudimentary, may bring about a likeresult. Physiology ; Symptoms.—It is the condition of the ovar-ies rather than that of the uterus which determines largelythe nature and degree of the disturbances which accom-pany hypoplasia uteri. Menstruation may not appear atall, or may be scanty, irregular, and painful ; and preg-nane}, when it takes place, is not unlikely to end inabortion. Diagnosis.—If, upon examination, the uterus is foundto be less than two inches in length ; if the cervix islarger than the body ; and if the uterine walls are thinand membranous, even with a cavity which measures a
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
