Transactions of the American Association of Obstetricians and Gynecologists for the year ... . ly large amount of connective tissueof a moremature type than is usually seen in the stroma of normal stroma is more cavernous than normal. The epithelium is welldeveloped. Section (b).—The adventitia occupies more of the thickness ofthe wall than is usual. The longitudinal muscle layer is not easilydefined; the circular layer is thicker than normal, and there is nowell-defined mucosa. The plicae are markedly deformed from hyper-trophic and hyperplastic changes, leaving but little lumen


Transactions of the American Association of Obstetricians and Gynecologists for the year ... . ly large amount of connective tissueof a moremature type than is usually seen in the stroma of normal stroma is more cavernous than normal. The epithelium is welldeveloped. Section (b).—The adventitia occupies more of the thickness ofthe wall than is usual. The longitudinal muscle layer is not easilydefined; the circular layer is thicker than normal, and there is nowell-defined mucosa. The plicae are markedly deformed from hyper-trophic and hyperplastic changes, leaving but little lumen epithelium is of low-cell type, the nuclei being almost entirelyround and oval shaped. CHANGES IN THE OVIDUCT. 277 Section (c) shows a wall exhibiting marked compactness, andconsisting almost wholly of connective tissue. The lumen is small,and only two primary folds are seen. Case XXVIII.—Chronic Bilateral Staphylococcic Salpingitis andOvaritis. Aged forty-four years. Duration of condition, one year. Symp-toms, pain in lower left iliac region and irregularity of Case of gross specimen. The gross specimen includes uterus, oviducts, and ovaries re-moved by hysterectomy. The uterus is enlarged and the tubes foldclosely about the ovaries in such a way that gross differention ofthese structures is impossible. The tubes are enlarged equally, andthe changes are approximately the same on both sides. Microscopic Examination.—Both tubes exhibit the same relativeenlargement and a corresponding similarity of pathological distal ends of the tubes definitely surround the ovaries.


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Keywords: ., bo, bookcentury1900, booksubjectgynecology, booksubjectobstetrics