Gynaecology for students and practitioners . urative and notaccompanied by dilatation of the tube. There is marked perisalpin-gitis accompanied by periooph-oritis, and a moderate degreeof thickening of all the layersof the wall of the tube {seeFig. 341). From the fact thatalmost without exception theovary shares in the inflamma-tory process, the term chronicsalpingo-oophoritis is correctlyapplied to this condition. Theabdominal ostium remainspatent for much longer than inthe other varieties of salpingitis,but ultimately becomes extensive pelvic peritonitismay also be present. It must
Gynaecology for students and practitioners . urative and notaccompanied by dilatation of the tube. There is marked perisalpin-gitis accompanied by periooph-oritis, and a moderate degreeof thickening of all the layersof the wall of the tube {seeFig. 341). From the fact thatalmost without exception theovary shares in the inflamma-tory process, the term chronicsalpingo-oophoritis is correctlyapplied to this condition. Theabdominal ostium remainspatent for much longer than inthe other varieties of salpingitis,but ultimately becomes extensive pelvic peritonitismay also be present. It must be assumed thatin this condition repeatedcatarrhal attacks have led to acertain degree of thickening ofthe middle coat of the being no suppuration,the epithelium on the plicaeremains intact and varies ex-ceedingly in character. Markedproliferation and also meta-plasia of cells are seen. Papillaryand tufted masses of epithelial elements may abound to such a degree asto give the appearance of papilloma and carcinoma. These mucosal. Fig. 342. Tubo-ovarian Cyst. Showing a bristle passed through the length of the tube and projecting into the cavity of the ovarian cyst. INILAMMATION of the tubes and ovaries 627 changes have in fact given rise to the view that cancer of the Fallopiantube is the outcome of chronic salpingitis. Tubo-ovarian abscess : Tubo-ovarian cyst. The fusion betweentube and ovary produced by inflammation may lead to a communica-tion between a pyo- or hydrosalpinx on the one hand, and an ovarianabscess or cyst on the other. This results in the formation of a cystthe wall of which belongs in part to the tube, and in part to the point of communication is usually a small aperture, but the lattermay be of considerable size. Around this aperture,^ the spread-outfimbrise of the tube can be seen, radiating over the adjacent surfaceof the ovarianportion of the wall of the cavity. This shows that theaperture is a patent tubal ostium. Clinical features o
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
