As pregnancy advances, the Fallopian tubes undergo other changes as
respects their situation, which are worthy of notice. The broad
ligaments, in the upper parts of which the Fallopian tubes take their
course, are well known to be merely expansions of peritoneum from each
side of the uterus, and therefore become gradually unfolded and shorter as
the uterus increases in size. "In proportion as the fundus uteri rises
upwards and increases in size, the upper part of the broad ligament is so
stretched that it clings close to the side of the uterus, so that in
reality the broad ligament disappears, no more of it remaining than its
very root, viz. its upper and outer corner, where the group of spermatic
vessels pass over the iliacs immediately to the side of the uterus. In
this state, though the small end of the tube opens in the same part of the
uterus as before impregnation, yet the tube has a very different
direction. Instead of running outwards in the horizontal direction, it
runs downwards, clinging to the side of the uterus. And behind the fimbriæ
lies the ovarium, for the same reason clinging close to the side of the
uterus."[8]
_Uterus._ The uterus is a hollow fibrous viscus situated in the
hypogastric region between the bladder and the rectum, below the
intestinum ileum and above the vagina, and is by far the largest of the
generative organs. It is of a pyriform figure: its upper portion which is
the largest is triangular, becoming gradually smaller inferiorly; that
portion of it which is above the spot where the Fallopian tubes enter is
called the _fundus uteri_; the lower and cylindrical portion receives the
name of _cervix_; that between the cervix and fundus is called the _body
of the uterus_.
The parietes of the adult uterus are nearly half an inch in their greatest
thickness, which is about the middle of the body, the body being slightly
thicker than the cervix, which is of a somewhat harder structure. Near the
point at which the Fallopian tubes enter the uterus the parietes become
thinner, gradually diminishing from four or five to only one line in
thickness.
The cavity of the uterus is triangular, its base being directed upwards,
the superior angles corresponding to the points where the Fallopian tubes
enter it. The cavity of the uterus is so small, owing to the thickness of
its parietes, that they are nearly in contact: it is only four lines in
breadth; the fundus, which forms the base of the triangle, is convex both
internally as well as externally; whereas, the sides which form the body
are convex internally, but somewhat concave externally.
Public-domain text, read in full here on John Shaqi.
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