Gynaecology for students and practitioners . Fig. 329. Suppurative Salpingitis (Early Stage). Under a high power the round-celled infiltration of the stroma is seen ; pus-cells and lymphocytes are present in the lumen. organisms are vk-ulent and invade (1) the connective-tissue elementsof the mucosa, and (2) the entire tube-wall as far as its peritonealcoat. There is fust seen a very marked thickening of the plicae {see ) ; this is due in part to the dilatation of the blood- and lymph-vessels, and in part to an inflammatory infiltration of the stromawith polymorphonuclear pus-cells and
Gynaecology for students and practitioners . Fig. 329. Suppurative Salpingitis (Early Stage). Under a high power the round-celled infiltration of the stroma is seen ; pus-cells and lymphocytes are present in the lumen. organisms are vk-ulent and invade (1) the connective-tissue elementsof the mucosa, and (2) the entire tube-wall as far as its peritonealcoat. There is fust seen a very marked thickening of the plicae {see ) ; this is due in part to the dilatation of the blood- and lymph-vessels, and in part to an inflammatory infiltration of the stromawith polymorphonuclear pus-cells and mononuclear round cells,the latter being derived from the proliferation of the fixed connective-tissue cells. Numerous lymphocytes also are seen both in the swollen PLATE XIX. Purulent Salpingitis (Subacute), showing an abundance ofplasma-cells in the inflammatory infiltration. Note the fusionof the plical tips which has produced pseudo-follicles. There is noinvasion of the muscularis by the mucosa such as is seen in chronicinterstitial salpingitis. To face p. 615 INFLAMMATION OP THE FALLOPIAN TUBE 615 plicae and in the purulent secretion which occupies the tube-lumen{see Fig. 329). Later on when the condition is subacute the characterof the infiltration changes, and plasma-cells take the place of thepolymorphonuclear and mononuclear cells {see Plate XIX). In theacute stage of suppurative salpingitis the tube is increased in size,and is soft, this change being due to oedema of the muscularis and ofthe subserosa. If healing occurs this thickening may subside, and
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
