Gynaecology for students and practitioners . pregnancy may occur from simultaneous lodgment of an ovumin each half and this condition offers a possible explanation of theoccurrence of superfoetation. The Fallopian tubes and ovaries areusually normally developed. The condition is often first revealed bythe accidental discovery during clinical examination of a doublevagina. In married women one half of the vagina is usually founddilated, the other in its virginal condition ; but sometimes both sideshave been found dilated. The septate uterus is especially difficult II 162 GYNECOLOG
Gynaecology for students and practitioners . pregnancy may occur from simultaneous lodgment of an ovumin each half and this condition offers a possible explanation of theoccurrence of superfoetation. The Fallopian tubes and ovaries areusually normally developed. The condition is often first revealed bythe accidental discovery during clinical examination of a doublevagina. In married women one half of the vagina is usually founddilated, the other in its virginal condition ; but sometimes both sideshave been found dilated. The septate uterus is especially difficult II 162 GYNECOLOGY to recognize clinically on account of its normal configuration. Thesound may indicate two cavities, but in applying this test it is betterto use two sounds so that there may be no doubt of the presence of twocavities separated by a septum. Double uteri are prone to the formation of fibroid tumours, just asnormal uteri are, and many instances have been discovered in uteriremoved for these growths. Sometimes duplication of the uterus is not. Fig. 90. Uterfs Unicobnis, with an ImperfectlyDeveloped Second Coknu. the only developmental fault present ; stenosis may also be foundaffecting either the cervix or some other part of the vagina uponone side but not upon the other. Accumulation of menstrual fluidwill then occur above the obstruction (cryptomenorrhoea), andlateral hsematocolpos or hsematometra will then be formed. Theclinical diagnosis of these conditions naturally presents great diffi-culty as there are no external signs of maldevelopment, and men-struation may be normal from the other side. Usually the dilatedportion has been mistaken for a neoplasm, and its true nature hasonly become apparent when exposed by operation. ATRESIC CONDITIONS OF THE GENITAL CANAL 163 ATRESIC CONDITIONS OF THE GENITAL CANAL These may affect the cervix, the vagina, or the vulva. Atresia of the Cervix. This may take the form of complete failureof canalization, the cervix being represented by a s
Size: 1520px × 1643px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
