On some malformations of the organs of generation / by William Turner.

  • Turner, Wm. (William), Sir, 1832-1916.
Date:
1865
Catalogue details

Licence: Public Domain Mark

Credit: On some malformations of the organs of generation / by William Turner. 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.

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    tremity of a triangular-shaped fold of peritoneum, one and a-half inches long, which permitted the tube to be readily moved about, and even drawn as far upwards as the iliac crest. Its fimbriated end was well marked, the mouth open, the tube pervious. The opposite end was closed, and formed a rounded cul-de-sac. The left round ligament was connected to the stump-like end of the atrophied left uterine cornu. The hymen was absent. The vagina, three inches long, readily admitting three fingers, and directed obliquely to the right. Into its upper end the os and cervix projected. There was a slight bulging of the vagina, to the left of the cervix. The pelvic surface of the posterior wall of the vagina was covered by peritoneum. Lips of the os uteri smooth. The cavity of the right uterine cornu and cervix measured together two inches in length. The rectum was in its normal position. The left colon descended over the surface of the psoas. The superficial surface of the left quad- ratus and iliacus was invested by peritoneum, which had therefore an extensive relation to the abdominal wall on this side. When the colon was removed, the left kidney was found altogether absent, the position of that organ being in part occupied by the gut, and in part by a mass of adipose tissue. The left supra-renal capsule was of ordinary size. From the absence of the left kidney there was no renal artery or vein on this side, but a vein formed by the junction of the left capsular and ovarian veins with one of the lumbar veins crossed the front of the aorta in the usual position of the left renal vein to join the inferior vena cava. The right kidney and capsule were normal, and it could not be said that this kidney was hypertrophied. There was no appearance of inflammatory affection of the peritoneum either in the pelvis or abdomen proper. The pelvis was symmetrical, and possessed the usual dimensions met with in the female. Cases 3 AND 4. Uterus Bicornis Unicollis. Two specimens of this malformation of the uterus have now come under my notice in the dissecting-room,—one three years ago, the other early in the present session. The women in whom they were found were advanced in years. In both specimens the pelvic peritoneum exhibited evidence of an old inflammatory attack. In Case 3, a number of fibrous bands passed in the antero- posterior direction across the pelvic cavity from the bladder to the rectum, and in their course were attached to the uterus, and more especially to a small calcified fibrous tumour connected with its right cornu. In Case 4, the ovaries and Fallopian tubes were situated in the iliac fossm, the right ovary being attached to the under surface of the meso-coecum by adhesions, the left to the under surface of the sigmoid meso-colon. The peritoneal investment of the uterine cornua and of the rectum was rough and flocculent.