Cyclopædia of obstetrics and gynecology . ll add afew observations which my predecessor Breisky has noted in the clinicalrecords at Berne. A woman, forty years old; one child eight years before; vaginal por-tion relaxed, thin, .6 of an inch long, os and cervical canal admit twofingers. In the region of the internal os is a prominent, circularly attached SLIGHTER DEVELOPMENTAL ANOMALIES, 261 tumor projecting into tlie cervical ctmal. Its surface is rough, and thereis a small opening in its middle, into which the tip of the finger can bepassed. After dilating this with laminaria, we found the mu
Cyclopædia of obstetrics and gynecology . ll add afew observations which my predecessor Breisky has noted in the clinicalrecords at Berne. A woman, forty years old; one child eight years before; vaginal por-tion relaxed, thin, .6 of an inch long, os and cervical canal admit twofingers. In the region of the internal os is a prominent, circularly attached SLIGHTER DEVELOPMENTAL ANOMALIES, 261 tumor projecting into tlie cervical ctmal. Its surface is rough, and thereis a small opening in its middle, into which the tip of the finger can bepassed. After dilating this with laminaria, we found the mucous mem-brane covering the ring perfectly smooth, and the internal os open to thefinger tip. Uterus inches long, inches of it being above the patho-logical orifice. In both cases menstruation appeared early, and was profuse; and bothwomen sought assistance for the hemorrhage. It is hard to decide as to the etiology of this undoubted developmentalfault. ^Ye may note that it is very like the form which occurs normallyin the Fig. 50.—Abnormal Plication of the Ccin icvl Cavity. (After P. Muller.) a, Os externum;b, OS internum; c, d, abnormal plication; , cervical cavity. It is also of practical importance, apparently causing the same pro-fuse hemorrhages as do polypoid growths, to be relieved by ablation ofthe fold. It may also disturb delivery. Thus E. Bidder reports as fol-lows: In a primipara twenty-six years old, the cervix was canal was divided by a semilunar-shaped fold nearer the internal os,into an upper and a lower pocket. Neither the bag of waters nor the headcould dilate this fold. Chills and fever set in; two incisions were madein the fold and the cervix, and the forceps applied. The patient hadfever from the third to fifth day from colpitis and endometritis cervical fold seemed to be entirely destroyed, and did not form again. The hemorrhage will necessitate an examination of the inner uterinesurface. We will find a pe
Size: 1338px × 1866px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bo, bookcentury1800, booksubjectgynecology, booksubjectobstetrics
