The Student's Handbook of Gynaecology

Cover The Student's Handbook of Gynaecology
The Student's Handbook of Gynaecology
G Ernest George Ernest Herman
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— A complete dysmenorrhoeal membrane is a flattened triangular bag, a cast of the uterine cavity. It is formed of two triangular pieces, and where these join, at the top and sides, it is thinner than elsewhere, and there- fore often the two pieces are separate. Its outer sur- face is rough, its inner surface marked with sulci and dotted with little pits. Microscopically, it is formed of connective tissue, thickly studded with small roimd cells, and containing vessels and gland tubes lined with ...colunmar epithelium (Fig. 128). Diag- nosis is chiefly important in cases in which the passing of a membrane leads to imputations on the patient's chastity. An aborted ovum has a decidua reflexa and an anmion. Nothing like these structures is found in a dysmenorrhoeal membrane. Two his- tological features mark a membrane as the product of pregnancy : (a) large decidual cells ; (6) chorionic villi. The latter are characteristic. Chorionic villi XXXVIII] Membranous Dysmenorrhcea 343 as seen on section are approximately rounded or oval in shape, bounded by a layer of deeply staining proto- .plasm, showing no distinct cell outlines, but contain- ing nuclei irregularly placed in numbers varying at different places.

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