. The diagnosis and treatment of diseases of women. Fig. 637. Pelvic Tuberculosis—Peritoneal ) (Kelly— Opera tire PELVIC, TUBERCULOSIS 703. Fig. 638. Pelvic Tuberculosis—Tubal Form. (Kelly—Operative Gynecology.) The conditions that point to pelvic tuberculosis are as follows: 1. Symptoms of chronic pelvic inflammation in a girl or young woman who hashad no evidence of uterine infection. 2. Gradual onset without previous uterine disease, and persistent progress with-out the periods of marked improvement usually present in ordinary pelvic inflam-mation. 3. Emaciation, gradual and
. The diagnosis and treatment of diseases of women. Fig. 637. Pelvic Tuberculosis—Peritoneal ) (Kelly— Opera tire PELVIC, TUBERCULOSIS 703. Fig. 638. Pelvic Tuberculosis—Tubal Form. (Kelly—Operative Gynecology.) The conditions that point to pelvic tuberculosis are as follows: 1. Symptoms of chronic pelvic inflammation in a girl or young woman who hashad no evidence of uterine infection. 2. Gradual onset without previous uterine disease, and persistent progress with-out the periods of marked improvement usually present in ordinary pelvic inflam-mation. 3. Emaciation, gradual and persistent, without a corresponding severity of theinflammatory trouble. 4. Evidences of tuberculosis elsewhere. Most cases of pelvic tuberculosisoccur in patients having pulmonary or intestinal tuberculosis. Treatment. If there are no contra-indicating lesions elsewhere, the affected tubes should beextirpated, preferably by abdominal section. The operation should be precededand followed by antitubercular remedies and regime. If there are marked lesions elsewhere or if the local trouble has advanced toofar for radical operation, employ palliati
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