Gynecological diagnosis and pathology . As the flexion generally occurs in thepuerperium while the uterus is still enlarged, it is hard to say whetherthe hypertrophy is the result of the displacement or due to its interfering RETROVERSION AND RETROFLEXION 47 with the process of involution, There is usually no alteration in thethickness of the uterine wall at the angle. The utero-sacral ligamenlare relaxed in retroversion, while in retroflexion the fundus is pre eddown between them. The ovaries follow as a rule the displaced fundus,the thin infundibulo-pelvic ligament stretching more readily th
Gynecological diagnosis and pathology . As the flexion generally occurs in thepuerperium while the uterus is still enlarged, it is hard to say whetherthe hypertrophy is the result of the displacement or due to its interfering RETROVERSION AND RETROFLEXION 47 with the process of involution, There is usually no alteration in thethickness of the uterine wall at the angle. The utero-sacral ligamenlare relaxed in retroversion, while in retroflexion the fundus is pre eddown between them. The ovaries follow as a rule the displaced fundus,the thin infundibulo-pelvic ligament stretching more readily than theovarian. Sometimes they are prolapsed below the fundus in the pouchof I louglas. The bladder is not necessarily altered in position, but it has no longerthe uterus resting upon it, SO that the utero-vesical pouch becomesopened out. Though the retroverted fundus comes into relation withthe wall of the rectum, the function of the latter is rarely interfered with. Note that on bimanual examination of a ease of retroversion only the. Fig. 34.—Diagnosis of Retroflexion by Bimanual Examination. cervix can be grasped; while a retroflexed fundus is recognised by thevaginal finger through the posterior fornix—more distinctly on rectalexamination. The sound will pass backwards. Symptoms.—These may be arranged in three groups according as theyare more or less continuous, or related to the menstrual period, or con-nected with the function of reproduction. The first includes pain iu the back with a feeling of weight or discom-fort in the pelvis, increased on exertion and by straining movements, These symptoms are not clue to the position of the uterusitself but to the pathological changes consequent on the displacement,such as uterine enlargement resulting from chronic metritis or fibrosisuteri, or associated with it, such as chronic peritonitis, Occasionally on 4S GYNECOLOGICAL PATHOLOGY examining a patient with no pelvic .symptoms the uterus is found to beretr
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
