Uterine Flexions and Versions 



395 



this inclination towards the lower type, and in some instances, from 



arrest of development, a double uterus results. The bicorned uterus 



may be associated with 



the halves of a vagina 



which is divided down the 



middle. Menstrual flow 



may be pent up in one 



of these chambers, the 



condition being called 



unilateral hcematokolpos 



(KO\TTOS, womb}. 



Flexions and versions 

 are apt to occur in the 

 flaccid uterus on account 

 of the inefficiency of its 

 ligamentous connections. 

 In 'flexion' the body of 

 the uterus is 'bent,' the 

 neck remaining in its 

 proper place. I n ' version ' the organ swings bodily ; either condition may 

 be caused by the weight of a fibrous tumour, or as a result of chronic 

 inflammatory thickenings and adhesions. On account of the strain 

 which is thus thrown on various pelvic nerves, versions and flexions 

 cause neuralgia and pains in the back. The introduction of the uterine 

 sound at once differentiates a version or flexion from a haematocele or 

 a uterine tumour. 



Uterus bicornis ; os uteri and vagina double. 



Anteversion. (G. HEWITT.) 



Excessive attention is occasionally bestowed upon a womb which is 

 considered to occupy an incorrect position or plane : practice in uterine 

 orthopaedies has run a risk of being developed into too special an art. 



