Pathological Anatomy of the Female Sexual Organs

Cover Pathological Anatomy of the Female Sexual Organs
Pathological Anatomy of the Female Sexual Organs
Julius M Klob
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He describes a case of complete inversion of the vagina with the external orifice of the uterus situated at its extreme end. In this instance the fundus uteri was not only at its normal elevation but rather above it. The enormous elongation of the uterus affected chiefly the cervix, the substance of which was dense and vascular. The entire length of the uterus from fundus tO' external orifice measured 61 inches, 3 inches of which belonged to the cervix (whilst according to Krause the greatest l...ength of a normal uterus is 3 J inches). Of the conclusions drawn therefrom by Virchow in regard to prolapsus I shall mention the two first ; that there exists a prolapsus of the uterus with- out a sinking of its fundus, or as Morgagni states, with only a slight sinking, and that this condition is caused by hypertro- phy and elongation of the cervix.
It is therefore advisable in such cases, especially when the 94 PROLAPSE OF THE UTERUS.
prolapsus is incomplete, to know whether we really have this condition before us, namely, a prolapsus without sinking of the fundus, in which case a replacement could not be enter- tained ; or whether we have a simple elongation of the vaginal portion of the uterus.


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