Outlines of Gynaecological Pathology and Morbid Anatomy
This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1901 edition. Excerpt: ...structures, anything outside the point of its attachment being tubal in origin, anything on its inner side uterine. This is a useful guide in complicated cornual conditions and abnormalities (see fig. 56). Cornual Pregnancy.5 (Figs. 56 B, 57.)--Some cases of supposed pregnancy in the tube have been proved to be pregnancy in a rudimentary horn of a uterus bicornis. The deformity is the result of failure of development of the Miillerian ducts; if both ducts coalesce but fail to communicate a uterus duplex or uterus bicornis is produced; if one duct only grows at a proper rate, the other remaining more or less 1 Taylor, Extra-uterine Pregnancy, p. 81. 2 B. Hicks, Guy's Hosp. Reports, vol. vi. p. 275; Doran, Trans. Obstet. Soc. hand. vol. xxiv. 1882, p. 227 (ruptured at second month), see figs. 54, 55; BlandSutton, Surgical Diseases of Fallopian Tubes, p. 352, new ed., p. 286. 1Taylor, op. cit. p. 85, and id. Lancet, vol. i. 1898, pp. 1447,1515, 1668, 1739. Virchow, Monat. filr Geburtsh. 1860. 1 Eussmaul, Malformations of the Uterus, 1859; Turner, Edin. Med. Journ. 1866; Bouth, Trans. Obstet. Soc. Lond. vol. xxix. 1887, p. 2; Handfield-Jones, ibid. p. 146. stunted, a unicorn uterus is the result, the immature cornu being attached to the fully developed horn, near the upper part of the cervix, some distance below the fundus. The ovary on that side is often ill-developed. The round ligament can be traced to the rudimentary horn, outside of which is tube. A communication between the deformed horn and the welldeveloped one may or may not exist1 (fig. 56b). In a well-formed uterus bicornis pregnancy may take place in either horn or both, if in one (fig. 57) a decidua forms in the other which is not impregnated, and both horns enlarge. In such...
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- 13 Sep 2013
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