A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
According to the measurements of Kilian, the uterus in the virgin adult,
varies in length from twenty-four to twenty-six lines; the greatest
breadth is eighteen lines; the thickness nine lines; the cervix is from
ten to twelve lines long; its breadth from six to eight; its thickness
from five to six lines. The length of the uterine cavity is twelve
lines, and its breadth nine lines. After one or more births all these
measurements increase from one-fifth to one-quarter. The weight of the
uterus varies from eight to twelve drachms, and may, after several
pregnancies, amount to two ounces.
=Congenital Anomalies.= The entire absence of the uterus is an
exceedingly rare occurrence, and need not affect the health of the
individual. A seeming multiplication of the organ is occasionally met in
the _bilocular_ and _horned_ uterus. In the former, a more or less
perfect septum extends through the organ in the median line, while in
the latter, the uterus is divided into two lateral portions, by a
prolongation of the angles or cornua, giving a resemblance thus to a
permanent form seen in many of the lower animals.[35] We may also find
the so-called _uterus unicornis_, where only one of the two rudimentary
bodies from which the normal uterus is developed arrives at maturity.
All these kinds of uteri are capable of becoming impregnated, but
parturition, although not necessarily fatal, seriously endangers the
life of the patient; owing, according to Rokitansky, partly to the want
of the necessary dimensions of the part that undertakes the functions of
the entire organ, and partly to the obstacle opposed to the uniform
development of the impregnated half by the unimpregnated half. These
circumstances favor rupture of the uterine walls.
=Hypertrophy and Atrophy.= These are in part normal at the periods of
puberty and change of life; as a morbid state, the first is of more
frequent occurrence than the last. Either may affect the entire organ,
or only a part. After the climacteric period the cervix often disappears
entirely.
=Hydrometra.= As the result of inflammatory processes, the os internum
or the os externum may become occluded, causing a retention of the
secretions from the diseased mucous membrane of the uterus. This
secretion gradually changes into a sort of thin serum. The uterus
becomes dilated, and we have hydrometra.
_Hæmatometra_ is a condition where the uterus is dilated with serum
mixed with blood, or exclusively with retained menstrual blood. This
latter state is more frequently the result of congenital than of
acquired atresia.
The amount of dilatation may vary greatly.
=Malpositions of the Uterus.= These may be of two kinds: (1) where the
direction of the axis is changed; or (2) the organ becomes altogether
displaced, so that its relation to all the pelvic viscera is altered. Of
the former class, are ante- and retro-versions, with flexions, and
lateral obliquities; of the latter, prolapsus procidentia and inversion.
Public-domain text, read in full here on John Shaqi.
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