On malformations of the hind end of the body.

Date:
[1908?]
Catalogue details

Licence: In copyright

Credit: On malformations of the hind end of the body. 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.

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    metropolitan medical schools there are six specimens, all obtained from infants, with the exception of No. 2695 in the museum of St. Thomas’s Hospital School, which was pre- pared from a woman aged 22 years. Lately Mr. Lawford Knaggs has described a case in a woman aged 31, from whom he removed a normally-formed uterus and implanted the ureters in the rectum. In four of the six museum specimens the uterus and vagina are normally developed ; in the remaining two there was a division of the uterus and vagina. Fig. 19.—Ectopia vesicae in tbe female, a. Position of nmbilicns; B, hypogastric fold ; c, upper vesical area ; D, lower vesical area; E, labium minus witb balf of clitoris and preinice: r, continuation of labia majora. 1, Opening of tbe ureter; 2, uvula vesicae; 3, vaginal orifice. The condition of parts in ectopia in the female is shown in Fig. 19. The red exposed mucous surface commences below just anterior to the anus as a sharp angular recess between the lower extremities of the labia majora ; on the floor of this recess is seen the orifice of the vagina; on each side of the vaginal orifice is a process representing a labium minus, with the corresponding crus and half of the glans and prepuce. On a smooth part of the exposed mucous surface (the lower vesical area) are seen the orifices of the ureters and the uvula vesicae ; the mucous membrane of the upper vesical area is rough, villous, and corrugated, and often shows a symmetrical division into right and left halves, due to the traction of the ureters on the evaginated bladder. In a specimen of Dr. Champueys’s in St. Bartholomew’s Hospital Museum with double vagina and uterus, there is an opening on the mucous area behind the vaginal orifices leading into a cul-de-sac of 0