Cyclopædia of obstetrics and gynecology (1887) (14759321996)

Identifier: cyclopdiaofobs11gran (find matches)

Title: Cyclopædia of obstetrics and gynecology

Year: 1887 (1880s)

Authors: Grandin, Egbert H. (Egbert Henry), b. 1855, ed Bandl, Ludwig Billroth, Theodor, 1829-1894 Börner, Ernst, 1843-1914 Breisky, A Charpentier, Arthur Louis Alphonse, 1836-1899 Chrobak, Rudolf Gusserow, A Hegar, A. (Alfred), 1830-1914 Kaltenbach, Rudolph, 1842-1896 Müller, Peter, 1836-1922 Olshausen, Robert Michaelis von, 1836-1915 Winckel, F Zweifel, Paul

Subjects: Obstetrics Women Gynecology Obstetrics

Publisher: New York, W. Wood & Company

Contributing Library: Columbia University Libraries

Digitizing Sponsor: Open Knowledge Commons

Text Appearing Before Image:

rm a flattened solid muscular beam with thickened end, or perhaps itterminates m a hollow body, which communicates with a tube and is pro-vided with a round ligament and an ovary. The size of the mass representing the second cornu varies greatly indifferent cases, as does also its development mto a uterus-like organ, sothat Ave find all manner of transition stages between uterus unicornissimplex and uterus bicornis. 208 DEVELOPMENTAL ANO.AIALIES OF THE UTERUS. The fleshy band which connects the second horn with the iinicorneduterus sometimes contains a canal, which may be blind at both ends, ormay connect the two cavities. But in some cases the band possesses nodemonstrable canal, even on the closest examination; and this in caseswhere pregnancy of the rudimentary cornu has occurred. The sexual functions are the same as in uterus unicornis, if the rudi-mentary horn is solid. A mechanical obstacle only can be present atbirth. Bat if the atrophied half contain a cavity, menstruation and

Text Appearing After Image:

Fig. 23.—Uterus Unicornis, with Atrophied Second Cornu. (After Rokitansky.) gravidity may occur in it, and the anomaly may be of the gravest impor-tance. We do not know how frequently the rudimentary cornu participatesin menstruation. The cases in which the rudimentary horn is closed,and where hematometra would occur if menstruation did, would tend toshow that the function is not usually participated in. There are only afew cases of the kind, which have been observed by Hegar and Franken-haiiser. Probably the fully developed portion takes upon itself the func-tion; and even when the rudimentary horn does so, the effusion of bloodoccurs but very late. The amount of fluid also is relatively small, sothat, as compared with hematometra of the developed uterus, a long time ONE-IIORISrED UTERUS WITH ATKOPIIIKD HORN. 200 is needed before the tumor attains any considerable size. There are thesame local troubles and neighboring changes, and the same eifects uponthe general system as occur in

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1887

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