A textbook of obstetrics . Fig. 415. -Laceration of lower uterine segment. LABOR COMPLICA TED /> YACCIDENTS AND DISEASES. 547 split, and it Is recorded in one case that the peritoneal and mus-cular coats were torn while the mucosa remained If thetear is extensive and complete, the fetal body will probably passinto the abdominal cavity, and intestines may prolapse into theuterus and into the vagina. In one remarkable case2 there was atear of the lower uterine segment and of the right lateral fornixof the vagina, through which the fetus entered the vagina, passingto one side of the u
A textbook of obstetrics . Fig. 415. -Laceration of lower uterine segment. LABOR COMPLICA TED /> YACCIDENTS AND DISEASES. 547 split, and it Is recorded in one case that the peritoneal and mus-cular coats were torn while the mucosa remained If thetear is extensive and complete, the fetal body will probably passinto the abdominal cavity, and intestines may prolapse into theuterus and into the vagina. In one remarkable case2 there was atear of the lower uterine segment and of the right lateral fornixof the vagina, through which the fetus entered the vagina, passingto one side of the undilated cervix. Fetal death is usually syn-chronous with the rupture of the womb, and if the childs bodypasses into the peritoneal cavity it rapidly putrefies, generating. Fig. 416.—Perforating lacera-tion of the cervix : a, Posterior lip;b, anterior lip ; c, perforation. Fig. 417.—Perforating laceration ofthe cervix : a, Perforation ; b, peritoneum ;c, muscle ; d, posterior lip of the cervix ;e, vaginal laceration (Winckel). gases of decomposition so quickly that its bulk is enough in-creased thereby to enhance considerably the difficulties of its ex-traction. From the decomposition of the fetal body, or perhapsfrom the entrance of atmospheric air, there may be emphysemaof the pelvic connective tissue and even of that of the thighs, 1 J. M. Withrow ( Lancet-Clinic, December, 1S91) reports a case of ruptureduterus, the rent beginning in front, midway between the insertion of the tubes, ex-tending up over the fundus and down along the posterior wall to Douglas pouch,involving the peritoneal coat and the muscular tissue, but not the mucous uterus, tilled with water after removal from the body, did not leak. A lar^edose of ergot had been g
Size: 1896px × 1318px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
