A treatise on the science and practice of midwifery / By W. S. Playfair.
- William Smoult Playfair
- Date:
- 1885
Licence: Public Domain Mark
Credit: A treatise on the science and practice of midwifery / By W. S. Playfair. Source: Wellcome Collection.
Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.
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![part of the cyst-wall is next to the uterine cavity, and that rupture takes place on the remote side. AVhere the uterus has but one cornu, or where one cornu is in a rudimentary state, and pregnancy occurs, we may fall into the error of su])posing that it is of the Fallopian tube. Such a cornu may be emptied jx^'i' '^'iu>^ naturcde,s, but the usual terminus is by a rupture of the sac. Dr. Sanger of Leipzig calls this form gynatretic. pregnancy, and has collected 21 cases which ended fatally in the first six months by rupture, and 3 in which a Uthopcedion formed, one of which was successfully operated upon by Koeberle.[^] The impreg- nated cornu has been remt)ved, successfully in tA^'o cases under Salin of Stockholm and Sanger, respectively, and unsuccessfully under Litzmann of Kiel. Sanger believes it possible to distinguish during life a Fallo- pian pregnancy from one of a rudimentary cornu, but this is not the Fig. 30. Partitioned Uterus. (Kussmaul.) general opinion, as even after death certain anatomical points must be relied upon. We must note where the round ligament is given off, it being between the cyst and the uterus in a Fallopian pregnancy, and at the distal side of an impregnated cornu. It is to be ht)ped that the five cases of New York and Philadclj)hia under dispute may some day be examined by autopsy, and the true character of the pregnancies deter- mined. If a Fallojiian foetal cyst can discharge itself into the uterus, as claimed, it is strange that an impregnated rudimentary cornu almost universally fails to do so, but ends fatally by rupture.—Ed.] The_^roa(l^jj(/<vmnif.s.—The broad ligaments extend from either side of the uterus,^vnere their lamina? are separated from each other, trans- versely across to the pelvic wall, and thus divide the cavity of the pelvis [' Trans. Inlernational Med. Conc/ress of Copenhagen, Aug. 16, 1884.]](https://iiif.wellcomecollection.org/image/b2121072x_0076.jp2/full/800%2C/0/default.jpg)
