. Diseases of women. A clinical guide to their diagnosis and treatment. flammation has ended in resolution. Theremay be suppuration farther from the uterus than this, theinflammation being continuous with that near the uteruswhich has not suppurated. This Matthews Duncan termedremote parametritis with continuity. But there are othercases in which there is an abscess which apparently lias noconnection with the uterus, there being nothing abnormalfelt by the vagina Nevertheless, from the development ofa large abscess without any discoverable cause, except thepossible accident of labour, it is in
. Diseases of women. A clinical guide to their diagnosis and treatment. flammation has ended in resolution. Theremay be suppuration farther from the uterus than this, theinflammation being continuous with that near the uteruswhich has not suppurated. This Matthews Duncan termedremote parametritis with continuity. But there are othercases in which there is an abscess which apparently lias noconnection with the uterus, there being nothing abnormalfelt by the vagina Nevertheless, from the development ofa large abscess without any discoverable cause, except thepossible accident of labour, it is inferred that the suppurative * Medico-Chir. vol. lxvii. 1884. PARAMETRITIS. 277 inflammation began near the uterus, and that the changescaused at the place of. its origin have subsided. This isremote parametritis Matthews Duncan relates a caseof abscess in the thigh of this kind. I have seen a largepuerperal abscess in the buttock without pyaemia, disease ofbone, injury, or trace ot intra-pelvic disease. Puerperal parametritis not rising into the false I Sacral vertebra Rectum Pouch ofDouglas containiug serum Fold of cervicalcaual VeinSymphysis pubis. Urethra Cellular tissueVagina Anus (upper part) Fig. 94.—Section through pelvis of puerperal woman in sagittal plane, showingcellular tissue between uterus and bladder. {After Barbour.) —In some cases of puerperal parametritis the inflammationdoes not rise above the pelvic brim, but extends in the samemanner as in the non-puerperal form, downwards to thepelvic outlet and backwards around the rectum. Thesecases resemble non-puerperal parametritis in their course andeffects. The unusual course of the inflammation doubtlessdepends upon some peculiarity in the time or manner ofits causation, but I know not what. Anterior parametritis.—Sometimes parametritis begins 278 DISEASES OF WOMEN. in the vesicouterine cellular tissue. (Fig. 94.) This is notcommon. It may suppurate and burst into the vagina or intothe bladde
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