. Atlas and epitome of gynecology . g has been left in position, covering the nar-row external os. The internal os is also quite narrow. The vaginalmucous membrane is inflamed. (Original water-color from a specimenat the Heidelberg Path. Inst.) hardened walls difficult of removal through an abdominalwound, vaginal hysterectomy (Landau, Pean) ; drainage. £ 19. CHRONIC PARAMETRITIS (PHLEGMON OF THEBROAD LIGAMENTS) AND PARACOLPITIS. There are two forms : (a) A chronic process, arising from the acute parametritisjust described. (6) Atrophic chronic parametritis (Freund). Etiology.—(a) See § 15. (b
. Atlas and epitome of gynecology . g has been left in position, covering the nar-row external os. The internal os is also quite narrow. The vaginalmucous membrane is inflamed. (Original water-color from a specimenat the Heidelberg Path. Inst.) hardened walls difficult of removal through an abdominalwound, vaginal hysterectomy (Landau, Pean) ; drainage. £ 19. CHRONIC PARAMETRITIS (PHLEGMON OF THEBROAD LIGAMENTS) AND PARACOLPITIS. There are two forms : (a) A chronic process, arising from the acute parametritisjust described. (6) Atrophic chronic parametritis (Freund). Etiology.—(a) See § 15. (b) Overstimulation of thegenital nerves by prolonged and profuse secretion (fre-quently repeated pregnancies, with lactation during theintervals, sexual excesses). Following upon periphlebiticprocesses, a connective-tissue change resembling cicatricialatrophy commences in the base of the broad ligament andgradually involves the entire genital tract. Symptoms and Diagnosis.—(a) An acute parametritis I mpmtft pjoyi/mx;.; jsvyynj. It X. if q^x SYMPTOMS.—TREATMENT. 135 that has become chronic may take one of the followingcourses : The exudate may become thick, remaining formonths or years ; it may perforate, and, as it has notentirely undergone suppuration, it may discharge fromtime to time ; or, more frequently, it may undergo absorp-tion and cicatricial contraction. These contractions mayalso follow scars from noninfected interstitial lesionsduring delivery. They result in displacements and dis-tortions of the uterus and its adnexa. (See § § 9 to 11 andPlates 23 ; 41, 2 ; 55, 1 ; 59 ; 62.) These masses of scartissue are less sensitive than those due to may be found about the vaginal fornices or alongsideof the uterus ; the sacro-uterine ligaments may be shortened,limiting range of motion of the uterus. (6) Symptoms of parametritis chronica atrophicans: Spon-taneous pelvic pain and tenderness of the bladder andrectum if their surrounding connective tissu
Size: 1266px × 1974px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookidatlasepi, booksubjectwomen
