Practical treatise on the diseases of the uterus, ovaries and fallopian tubes / by A. Courty ; translated from the third edition by his pupil Agnes M'Laren.

  • Courty, Amédée.
Date:
1882
Catalogue details

Licence: Public Domain Mark

Credit: Practical treatise on the diseases of the uterus, ovaries and fallopian tubes / by A. Courty ; translated from the third edition by his pupil Agnes M'Laren. 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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    7 to 8 at its external extremity, and from 18 to 20 at the circumference of the terminal infundibulum. Therefore, even supposing the diameter of the uterine orifice to be enlarged, it is not the less impossible to catheterise the Fallopian tube. There is not, however, the same diffi- culty about the penetration of liquids that there is about solids, there- fore an injection may penetrate from the uterine cavity into the Fallopian tube. The external orifice, ostium ahdominale, opens in the Fig. 13.—Fallopian tube and ovary. O, ovary turned downwards and back- wards ; Od, istbmus of the tube ; Od', broadest part of this canal; J, fimbriated extremity ; Oa, abdominal orifice of the tube, Fo, ovarian fringe ; io, inf undibulo-ovarian ligament; Ro, organ of Eosenmiiller. centre of a kind of fringed funnel, called the fimbriated extremity/. It is not uncommon to observe accessory fimbriated extremities on the external third of the Fallopian tube, i. e. other orifices besides the normal one, communicating, like it, with the canal of the oviduct, and forming consequently a condition unfavorable to the preservation and transport of the fecundated ovum, and therefore a cause of sterility.^ The Fallopian tube is composed of a double muscular tunic, the internal of circular, the external of longitudinal fibres, following all its flexuosities, and apparently formed by a prolongation of the uterine fibres. These are tide cause of the vermicular, peristaltic movements, analogous in every way to those of the intestine, which it is easy to see in the females of the mammalia at the time of ovulation. Besides these intrinsic muscles, the Fallopian tube is surrounded by an ex- trinsic superficial layer of muscular bundles, which do not follow the flexuosities of this canal, but run in a perfectly straight direction, are continuous with those of the utero-ovarian and tubo-ovarian liga- * Richard, Anatomie des trompes de I'uterus, Theses de Paris, 1851.