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It usually in a hypergemic and catarrhal condition, and sometimes as Freund's case has polypoid growths upon its surface.

It may become adherent the posterior vaginal wall case, Simon.

The vesical muscularis generally hypertrophied, and the serosa sometimes injected and pericystitis with perimetritis may cause varying adhesions between the two organs. The ureter often involved in the changes shape, write my essay for me no plagiarism position, and tension the fistula?. If torn across, the lower end will atrophy like the urethra cicatrization will approximate the ureter the other side.

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Its wall will usually thickened account the inflammation the subserous tissue and the canal will dilated above the thickened part.

The kidneys are also very liable suffer, especially in uretero-vaginal fistulse, since injurious matter can most easily reach the Atresia the Vault the Vagina.

After Hegar. pelvis the kidney from the vagina. The case Crede noteworthy in this respect, finding the extirpated kidney belonging the injured ureter in a high state interstitial nephritis.

Verneuil has very recently paid particular attention this subject. The external genitals are continually moist, pale bluish red in color, eroded in places, and sometimes secreting pus. After the fistula has existed for some time, often find small flat tumors, hypertrophies the papillary bodies, pointed condylomata and excrescences. Cases of Hoffmann and G-. Simon. In recent cases the vagina hyperannic, swollen, and dilated when much scar tissue formed often stenosed, and at times the seat complete atresia.

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Thus in one of Freund's cases the lower part the vagina was much narrowed cicatricial tissue then came a wider portion, containing the vesico vaginal fistula, and then above this was another stenosed portion, from which urine also flowed. The vaginal contracture and irregularity may so great as render difficult or even impossible find the cervix and fix the position the uterus. Erosions the vaginal wall also occur. In old large fistulae not infrequently find the vagina relaxed and dilated, pale in color, and with its epithelium very like that the epidermis. help me write a report If the fistula near the uterus, or involves that organ itself, the lips the uterus are swollen, eroded, and covered with weak granulations. 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