. The diagnosis of diseases of women . Hydrosalpinx. The tube is distended with serum into an irregular retort-shaped massthe size of a fetal head. The wall of the cyst is thin and transparent. The uterine endof the tube is not distended. A normal ovary lies adherent to the distended tube.(Specimen removed by Dr. J. Clarence Webster.) greater extent than at the uterine end, where the muscular wall ismore resistant and the lumen of the tube smaller. It is unusualfor the tube to distend throughout its entire length; it may enlargeto the size of a childs head. The larger the tube the thinner andm
. The diagnosis of diseases of women . Hydrosalpinx. The tube is distended with serum into an irregular retort-shaped massthe size of a fetal head. The wall of the cyst is thin and transparent. The uterine endof the tube is not distended. A normal ovary lies adherent to the distended tube.(Specimen removed by Dr. J. Clarence Webster.) greater extent than at the uterine end, where the muscular wall ismore resistant and the lumen of the tube smaller. It is unusualfor the tube to distend throughout its entire length; it may enlargeto the size of a childs head. The larger the tube the thinner andmore transparent is the wall. Adhesions to the tube are not ordinarily present, and are seldomfirm, hence hydrosalpinx is more or less movable, The fimbriated PLATE Hydrosalpinx. A branching fold of mueous membrane projects into the lumenof the tube. It is composed, of connective tissue covered by a singlelayer of columnar epithelium. A section of the tube w^all is com-posed of connective tissue, muscle fibre, and bloodvessels; and islined -within by a single layer of columnar epithelium. DIAGNOSIS OF BISUASES OF THE FALLOPIAN TUBES 385 end is shaped like a club or retort. Radiating lines mark the adhe-sions of the fimbrise. • In the early stage we have the gross and microscopic appearanceof catarrhal salpingitis. As the tube distends the walls becomethinner and more transparent; the mucosa thins and the muscula-ture is stretched and atrophied, presenting longitudinal bands ofmuscle fibres running the entire length of the tube and terminatingat the fimbriated end in a rosette figure. The epithelium of the mucosa is compressed and may be whollylost. The contents of the tube is clear, serous fluid, with a specificgravity of 1005 to 1010, and an a
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