Transactions of the American Association of Obstetricians and Gynecologists for the year ... . come so easily infectedis not clear. Gusserows case was pregnant on the fully developedside. The occurence of pyometra and pyocolpos in cases ofdouble uteri is very important and interesting. They show thevalue of routine careful pelvic examination in cases with feverand other septic manifestations. The blood count is high, andthere are defmite symptoms of infection without the true con-dition being discovered until peritonitis has closed the scene andautopsy revealed the ])athogenesis. UTERUS SEPTUS
Transactions of the American Association of Obstetricians and Gynecologists for the year ... . come so easily infectedis not clear. Gusserows case was pregnant on the fully developedside. The occurence of pyometra and pyocolpos in cases ofdouble uteri is very important and interesting. They show thevalue of routine careful pelvic examination in cases with feverand other septic manifestations. The blood count is high, andthere are defmite symptoms of infection without the true con-dition being discovered until peritonitis has closed the scene andautopsy revealed the ])athogenesis. UTERUS SEPTUS. 357 C. Cases uith Pregnancy Occurring on one or Both Sides.—When the pregnancy occurs in the atresic half, some mishap isalmost sure to supervene and the physician should have diagnosedthe condition of double uterus early and kept the patient underconstant supervision. These cases of double uterus complicatedby pregnancy form by far the largest and most important pregnancy may not be suspected by the patient for somemonths owing to a normal menstrual flow from the other side,. as in the case reported by Cunningham(22). Severe recurrenthemorrhages, especially occurring at the normal menstrual time,cause the cases to be confused with ectopic pregnancy or placentaprevia. Masterman(ii) delivered a woman after bringing onlabor artificially at the seventhmonth, because of veiy- severehemorrhage recurring at the fifth, sixth and seventh was also severe postpartum hemorrhage. This patient sub-sequently became pregnant in both uteri and aborted at the 358 H . ^^ E L L I X G T O N YATES,
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