Identifier: pathologytreatme00mart (find matches)
Title: Pathology and treatment of diseases of women
Year: 1912 (1910s)
Authors: Martin, August Eduard, 1847- Jung, Ph. (Philipp Jacob), 1870-1918
Subjects: Gynecology Gynecology
Publisher: New York : Rebman company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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Atresia occurs rather seldom in comparison to the frequency x>f anextreme stenosis. The most competent observations in pregnant andparturient women have been made from the discharge or trickling ofthe amniotic fluid, while an opening could not be detected on inspection.Such stenoses and atresias developing from them have been observed PATHOLOGY OF THE VAGINA AND UTERUS 71 after typhoid fever, scarlatina, cholera, diphtheria, gonorrhea, syphilis,and newgrowths. Simple catarrhal inflammations only very rarely causeatresia. Atresias are more frequently the consequence of injuries duringlabor, in which the cervix and vaginal vault were destroyed. Finallyatresia may form in connection with operative procedures, especiallywhere wound-surfaces were not or could not be covered with mucousmembrane, and after cauterizations with zinc chlorid, or atmocausis(treatment by direct application of superheated steam). Acquiredatresia is located most frequently in the upper portion of the vagina, the
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Fig. 45.—Hematocolpos Congenita. Fig. 46.—Hematometra and HematocolposCongenita. vaginal vault or cervix, corresponding with the etiology. It is veryseldom developed in the cervical canal or internal os. With absence orclosure of the lower end of the vagina (Fig. 46), the uterus seldomdilates and only in the later stages through the pressure of the retainedblood. It appears as a hard and strikingly easily movable mass or ap-pendage on the surface of the tumor mass. The latter rises out of thesmall pelvis into the peritoneal cavity with a broad base, lying close tothe anterior abdominal wall in the median line like a tumor of the uterus,feels smooth, tense and elastic. If retention of the blood takes place in a uterus with atresia uteri,hematometra, the uterus expands first with the shape of a fiddle, andfinally becomes globular (Fig. 47). The portio vaginalis becomes obliter- •72 DISEASES OF WOMEN ated as during labor or during the expulsion of large myomata of theneck. I have s

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