Two cases of uterus septus unicollis, both associated with fibromyoma, and one also with haematosalpinx / by Alban Doran and Cuthbert Lockyer.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
1905
Catalogue details

Licence: In copyright

Credit: Two cases of uterus septus unicollis, both associated with fibromyoma, and one also with haematosalpinx / by Alban Doran and Cuthbert Lockyer. 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.

    26/32 (page 16)
    examination after removal it was seen to be a fibroid in the left rudimentary born of a uterus bicornis. 11. Ranken Lyle’s “Case of Cfesarean Section at Full Term for Complete Obstruction by Fibroid Tumour, Double Uterus and \agina,” appeared in the pages of this Journal last December (Vol. vi., p. 438). “Pedunculated myomatous mass in Douglas’s pouch ” was, very naturally, diagnosed, the uterus was opened, the child and placenta removed and the uterine wound closed by suture. The mass was then lifted out of Douglas’s pouch, and proved to be a myomatous uterus, quite independent of that which had been opened. It bore the right appendages and was attached to the top of the vagina on the right. The peritoneum passed directly from the posterior surface of the bladder between the two uteri to the anterior surface of the rectum. This right uterus was amputated above the cervix. It was then found that the left, which had been opened for the extraction of the foetus, bore the left Fallopian tube and ovary. During her recovery Ranken Lyle examined the patient and found that the vagina was completely double. There was a distinct and separate cervix at the upper end of each canal; the septum was attached at its inferior limitsf to the vestibule anteriorly and to the perineum behind. This case seems a genuine example of uterus didelphys, although it might have been ranked as an extreme form of uterus bicornis duplex with double vagina, as it is not absolutely evident that the cervix was double throughout. 12. Pick omitted to include Dr. Amand Routh’s case,19 published in 1887. A pathological committee reported it as “ a fibroid growing from the undeveloped horn of a uterus unicollis.” A valuable article, “ Ueber die Neoplasmen der missbildeten Gebarmiitter,” by C. D. Josephson, appeared four years ago in the Arcliiv fur Gynakologie (Vol. lxiv., p. 376). Josephson refers to Pick’s 12 cases, and adds not only fresh notes about one of that series (J. Schmidt), but also a drawing of the specimen where the symmetiy of the two uterine cavities and of the fibroid developed in the septum between them, was as marked as in Mr. Doran’s case. In Dr. Lockyer’s specimen one cornu was greatly distorted by fibroid growths developed in its walls away from the septum which was also the seat of a fibroid. Josephson also adds twelve cases published since Pick’s article which we have quoted and not included in our own additions above. Four are recorded by Pick, and two jointly by the same author and Landau; one by Paltauf, three by Gunsett, all the above being fibro-