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ARTICLE |

PROLAPSE OF MUCOUS COATS OF THE SIGMOID THROUGH A PERFORATION OF THE UTERUS.

J. A. HARTMANN, M.D.
JAMA. 1907;XLIX(14):1186-1187. doi:10.1001/jama.1907.25320140032003a.
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ABSTRACT

The following case is of interest, since the conditions were so rare as to be almost past belief. It is true that prolapse of some part of the bowel, through the uterus, is not uncommon, but in all of the cases reported the prolapse consisted of the entire coats of the bowel. In the case I am about to describe, most of the pathologic conditions were different. Indeed, I doubt if a similar condition has ever been seen. I have, after repeated attempts on the cadaver, been unable to produce it. In this instance, the mucous membrane had been stripped from its attachments to the muscular coat, and pulled through a small opening in the upper part of the rectum, just above Douglas' cul-de-sac, the mucous membrane being torn off about three inches above the anus, leaving the lower three inches of the rectum still lined by mucous membrane. The

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