Pathology and treatment of diseases of women.

  • Martin, August Eduard, 1847-1933.
Date:
1912
Catalogue details

Licence: In copyright

Credit: Pathology and treatment of diseases of women. Source: Wellcome Collection.

    81/500 (page 61)
    40) in the new born. This is not the place to enter into a discussion of the manifold possibilities of arrest of development. (a.) Absence of Parts and Rudimentary Development It is very rarely the case that there is no indication of Müller’s ducts. In the external depression (Fig. 37, cl.) from which the openmg to the internal genital Organs (Fig. 38, su) develops, only the urethra is formed, while the external genitalia are plainly but mcompletely developed. Ihe Fig. 39.—Complete Atresia, Allantois Fig. 40.—Complete Atresia. b, bladder; Separated from the Rectum, b, g, genital canal; r, rectum, bladder, and g, genital canal dis- tended by urine. Schroeder’s Lehrbuch, Ed. VII, page 530. ovaries cannot be detected at times. One finds in the hollow of the pel- vis, extra median, and near the pelvic wall, a small nodule, which could be called an ovary. This finding has clinically the same importance as that in which Müller’s ducts are developed as bandlike unperforated formations instead of a complete absence. If the ovaries are entirely absent, one finds only a moderate develop- ment of the feminine type, these persons being absolutely sexless; they show only scant external indications of the development of puberty and have occasionally molimina, so-called vicarious menstruation, as epis- taxis, melena, hemorrhoidal bleeding and the like. Somewhat more frequently than the foregoing, persons are found in whom the internal genital organs can be palpated as bands and nod- ules running transversely across the pelvis, which appears otherwise empty, with or without connection with the vagina. One may feel espe- cially a fold which runs transversely across the pelvis. These persons have at times-an infantile developed vagina, which terminates in ablind sac without it being possible to feel a continuation above it. Attempts at intercourse lead at times to a dilatation of the urethra, in others the fold of skin between the nymphse is stretched and widened into a short cul-de-sac (blind sac). The majority of my patients thus constituted were very decrepit women with positive phthisical habitus, children from marriages be- tween blood relatives, very juvenile and neurasthenic persons. The sixteen-year-old wife of a physician had a perfectly beautiful feminine body, but she developed a severe nymphomania, which led her to the insane asylum. Only in one family did I find these persons develop the character of viragos. This family confirmed the isolated observations in