. Atlas and epitome of gynecology . stulas, and partial or complete duplica-tions of the genital tube (Kussmaul). The following forms are of clinical importance : i i. APLASIA AND HYPOPLASIA OF THE FETAL RUDI=MENTS. 1. Absence of the uterine appendages. 2. Absence of the uterus. 3. Absence of the entire genital tract, with or with-out— 4. Pseudohermaphroditism. 5. Uterus unicornis : i. e., absence of a portion of oneof the Miillerian ducts (Fallopian tube attached to theuterine portion of one Miillerian duct), 2 17 18 AN03TALIES OF FORMATION. 6. Atresias—which may be cord-like or diaphragmatic
. Atlas and epitome of gynecology . stulas, and partial or complete duplica-tions of the genital tube (Kussmaul). The following forms are of clinical importance : i i. APLASIA AND HYPOPLASIA OF THE FETAL RUDI=MENTS. 1. Absence of the uterine appendages. 2. Absence of the uterus. 3. Absence of the entire genital tract, with or with-out— 4. Pseudohermaphroditism. 5. Uterus unicornis : i. e., absence of a portion of oneof the Miillerian ducts (Fallopian tube attached to theuterine portion of one Miillerian duct), 2 17 18 AN03TALIES OF FORMATION. 6. Atresias—which may be cord-like or diaphragmatic—in the cervix (corresponding to the internal or externalos); in the vagina, hymen, or vulva. 7. Congenital rectovaginal or recto vulvar fistulas (atre-sia ani vaginalis or hymenalis, cloaca vaginalis, or fistularectovestibularis). 8. Feminine epispadias and hypospadias. i and 2. Total absence of the uterus and its ap-pendages is very rare, and usually is first discovered atpuberty. Solid bundles of muscle-fibers pass up from. Fig. 1.—The fetal genitalia cut open in a median sagittal plane, sothat the divided symphysis is thrown hack on either side. Absenceof the uterus (original drawing, from a preparation in the MunichFrauenklinik). a rudimentary vagina and through the broad ligament,which can be recognized as a small transverse partition inthe pelvis. The vulva is well developed, as a rule, themost striking external defects being a stunted clitoris, ab-sence of the pubic hair, and smallness of the breasts. The ovaries, on the contrary, are absent or but par-tially developed. The Fallopian tubes are patulous onlyin their ampullae. In one case I found at autopsy 1 a 1 In a fetus at the Munich Frauenklinik, Arch. f. Gym, 37, 2. ABSENCE OF GENITAL TRACT. 19 total absence of the uterus and its appendages, with anelongated vagina. One portion of the fetal rudiments hadformed this blind pouch, without any attempt at differen-tiation of a cervix. (See Fig. 1.) Symptoms.—Fr
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