Metastatic or Embolic Endometriosis, due to the Menstrual Dissemination of Endometrial Tissue into the Venous Circulation.
Metastatic or Embolic Endometriosis, due to the Menstrual Dissemination of Endometrial Tissue into the Venous Circulation.
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发表时间:
1927-03
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影响因子:
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通讯作者:
J. Sampson
中科院分区:
文献类型:
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作者:
J. Sampson
Over twelve years ago the writer began a series of experiments to determine the shape of the uterine cavity in normal and pathologic conditions. The technic was as follows. The uterus removed at operation or necropsy was placed in a basin of warm water and then filled with melted gelatin (about I5 per cent) containing in suspension bismuth subcarbonate or barium sulphate. This was introduced through the cervical canal by means of a syringe. After filling the uterine cavity the syringe was withdrawn, the cervix damped in order to prevent the escape of the injection mass and the specimen placed in cold water until the gelatin had solidified. Stereoscopic roentgenograms of the uterus enabled one to obtain a dear picture of the form of the uterine cavity under various conditions and also of the luii a of the tubes if the latter were patent. In February, I9I6, I removed a myomatous uterus from a patient who was menstruating at the time of the operation. On filling the uterine cavity with the injection mass I was surprised to find that it escaped from the severed uterine and ovarian veins. This was the first time that I had noticed this phenomenon. The following experiments were made. Uteri were curetted after their removal and the uterine cavity was filled with the mass. In many instances the injection mass escaped into the venous sinuses of the uterine wall and through the uterine and ovarian veins. These observations together with a