Congenital tubal anomalies

290

THE

AMERICAN

Wlarton, Lawrence R.: velopmental Defects; xl, 31, 1925.

JOURNAL Congenital Report of

OF

OBSTETRICS

Absence a Case.

of the Surgery,

AND

GYNECOLOGY

Uterus and Gynecology

Associated Deand Obstetrics,

The genital and urinary systems have a common origin am3 in their development are inseparably associated. A clinical study of a case of congenital deformity must be well considered from the viewpoint of the genitourinary system as a whole. Malformations of the uterus are occasionally associated with developmental defects of organs not in the genitourinary system. Such defects have been found most commonly in the abdominal wall, the bony pelvis, and the structures derived from the cloaca, i.e., the rectum, anus and bladder. The experimental work of Hertwig, f&bin a& Stockard demonstrates that congenital defects have their incipiency farther back in embryonic life than we have heretofore supposed. WM. C. HENSHE. Royster: Malformations of Surgery, 1922,

xxxvi,

of the 110.

Uterus:

with

Clinical

Reports.

The author cites three very interesting cases of malformation In a survey of the literature which came to hysterectomy.’ theoretical problems that deserve consideration. Names: Separated Double Uterus schrift, 1921, xxxiv, 440.

with

Hematometra.

Wiener

American

Journal

of the uterus, all of he furnishes some W. KERWIN. Klinische

Wochen-

The author reports a double uterus in which the right cervix opened into a vagina and thence to the outside, while the left one opened into a vagina three mm. wide which ran alongside the right vagina down to a point two inches above the external vaginal orifice where the left opened into the right. The left uterus was distended with old menstrual blood to the size of a goose The left tube was one-half inch thick and contained no blood. The right egg. uterus was less developed than the left and adherent to its adnexa. There were many pelvic adhesions. A complete hysterectomy was done. The external genitals were normal except that the introitus wa,s placed somewhat to the right. The patient was twenty-six years old, had menstruated normally for seven years and then had painful menstruation for one year with cramps in the left side. For the last five weeks the cramps had been continuous. It seems probable that the left vagina became atresic at the time the menstrual pain began and that the blood from the left uterus was forced through the tube into the pelvis, causing pain and the pelvic adhesions. FRANK A. PEXBERTON. ,rjchoenholz: kologie,

Congenital 1924, lxxxvii,

Tubal 56.

Anomalies.

Zeitsehrift

fiir

Geburtshiilfe

und

Gyn%

The author describes cases and gives excellent illustrations which lead him to the following conclusions: There are anomalies in the tubes of adults whose anatomic structure cannot be explained by an inflammatory process. Cytogenie tissue within the tubal mucosa, infoldings of epithelium into the tubal musculature, as well as the formation of networks by the fimbriae in which there are no histologic signs of a cured inflammation, may in many cases be explained by a disturbance in development. They are to be considered as malformations, and the theory is strengthened by the discovery of isolated examples of similar conditions in tubes of the newborn. The importance of these structures in the tubal nidation of the ovum is obvious. The inflammatory theory of the origin of salpingitis isthmica nodosa and of diverticula should, in view of these observations, be revised. MARGARET SCHULZE.