Transactions of the North of England Obstetrical and Gynaecological Society.

  • North of England Obstetrical and Gynaecological Society.
Date:
1908
Catalogue details

Licence: In copyright

Credit: Transactions of the North of England Obstetrical and Gynaecological Society. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    10/36 page 52
    of a single layer of cubical cells. The underlying glands are compressed, so that their long axes are parallel to the surface, in some the epithelium consists of tall columnar cells with basal nuclei and shows various stages of secretory activity. The fibro-muscular wall of the developed cornu appears normal, its mucous membrane is thin but typically that of a corpus uteri and characteristically altered by surface pressure. The wall of the haematosalpinx is markedly thinned ; the vessels in its outer coats are much engorged, it shows a few stunted plicae ; the epithelium is composed of low cubical and flattened cells, poorly staining. The section of the ovary is well stocked with ova in various stages of development ; though the blood cyst is a dis- tended simple Graafian follicle and not a corpus luteum, there are several corpora albicantia and areas of lutein cells in the stroma. Remarks. The association of complete absence of the vagina, with the presence of well developed external genitals and a menstruating (if malformed) uterus, is, so far as I can judge, of extreme rarity. Dr. Ballantyne, in Allbutt’s System says : “ Complete absence of the vagina is a very rare condition—probably it is always associated with absence of the uterus Fallopian tubes and external genitals.” Clinically, the similarity of the early symptoms to those of appendicitis is of interest in view of the case recently reported by Dr. Thos. Wilson (Proc. R. S. Med., Jan. 1908) ; his patient was sent into hospital as an emergency case of acute appendicitis. With regard to the treatment employed, no more
    digitised image 1
    digitised image 2
    digitised image 3