. Clinical gyncology, medical and surgical. nothing like the preponderance over the latter that occurswith puberty. All the important developmental anomalies of the womb depend uponan arrest of development, and the nature of these anomalies depends in greatpart upon the time at which the development of the womb was there is an arrest of the fusion of Midlers ducts before the twelfthweek, a greater or less degree of duplicity in the womb must result. Ifthe arrest of fusion in the two canals comes after the twelfth week, abicornate or a septate uterus is the result. If the disturbanc


. Clinical gyncology, medical and surgical. nothing like the preponderance over the latter that occurswith puberty. All the important developmental anomalies of the womb depend uponan arrest of development, and the nature of these anomalies depends in greatpart upon the time at which the development of the womb was there is an arrest of the fusion of Midlers ducts before the twelfthweek, a greater or less degree of duplicity in the womb must result. Ifthe arrest of fusion in the two canals comes after the twelfth week, abicornate or a septate uterus is the result. If the disturbance of devel-opment occurs at a later period, the womb retains a foetal or an infantilecharacter without longitudinal separation or distinct indication of theduplex manner of its formation. If the arrest of development affects thewomb at a very early period, there may be simply a rudimentary bundleof muscle and connective-tissue fibres to indicate its situation, and in ex-traordinary cases there may be an entire absence of the organ. Fig. Rudimentary uterus.—a, ribbon-shaped rudiment of uterus; b, 6, round ligaments; c, c, Fallopian tubes; d, d, ovaries. Absence or Rudimentary Development of the Uterus.—Complete absenceof the womb is an extremely rare occurrence, although an examinationduring life may fail to detect the slightest sign of its existence. Afterdeath there is commonly found an indication, at least, of the presence of thewomb in a ribbon of muscle or connective tissue stretched across the pelvis ANOMALIES OF DEVELOPMENT IX THE GENITAL TRACT. 225 (Fig. 2), or, as in one ease, in a mass of muscular substance on the posteriorwall of the bladder (Fig. 3). A rudimentary development of the uterus is not uncommon. Theremay be a solid muscular body of small size without a cavity, or a partialexcavation with a shallow canal leading part way into the uterine commonlv the uterus retains in adult life its fcetal or infantile ehar- Fig. 3. Fig. 4.


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