Outlines of the diseases of women / by John Phillips.

  • Phillips, John.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Outlines of the diseases of women / by John Phillips. Source: Wellcome Collection.

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    importance ; in this condition the right or left fornix is occupied by the fundus uteri. In the above we have considered the cervix as either remaining in its normal position (as in anteversion or flexion), or lying in an opposite direction to the fundus, the relation of these to each other being unchanged, as in retroversion. But it must be remembered that we can have additional varieties. For instance, take Fig. 82 : 2, of anteflexion. We have acute flexion of the cervix on a normally situated fundus—i.e., with the os uteri looking forward and the cervix pointing in a similar direction. Again, with retroflexion, the cervix may look backwards and be flexed on a slightly retroverted fundus (Fig .84 : 1) : a further advance still would be a combination of marked retroversion with retroflexion (Kg. 84 : 3). Fig. 84. Posterior displacements of the uterus (varying grades of retroflexion.) 1. Slight retroversion of fundus, retroflexion of fundus on cervix. 2. Marked retroversion of fundus, cervix looking forward. 3. Marked retroversion and retroflexion. Causation.—In anteversion the uterus will usually be found enlarged; it may be present in some forms of subinvolution and the early months of pregnancy. The slight physiological anteflexion has become effaced and the uterine canal is nearly straight. Anteflexion.—This is an exaggeration of the normal state: it may be— 1. A congenital condition, in which the uterus is ill- developed, the cervix being normal, but the body has not attained its full growth. 2. Acquired. This is nearly always due to recent or' remote pelvic inflammation, in the shape of peri- tonitis or cellulitis: if the cellular tissue in the anterior cul-de-sac has been affected (anterior para-