The diseases of the genital The diseases of the genital organs of domestic animals diseasesofgenita00will Year: 1921 Sclerotic Metritis 605 E. Sclerotic Metritis. Sclerosis of the uterine walls generally accompanies long- continued metritis, but as a rule the sclerosis is not very marked. There may be distinguished upon rectal palpation a definite thickening and hardening of the walls, which does not constitute an important factor in the prognosis and handling of the disease. If the uterine mucosa is restored to health, the sclerosis abates and disappears. There is, however, an extreme type


The diseases of the genital The diseases of the genital organs of domestic animals diseasesofgenita00will Year: 1921 Sclerotic Metritis 605 E. Sclerotic Metritis. Sclerosis of the uterine walls generally accompanies long- continued metritis, but as a rule the sclerosis is not very marked. There may be distinguished upon rectal palpation a definite thickening and hardening of the walls, which does not constitute an important factor in the prognosis and handling of the disease. If the uterine mucosa is restored to health, the sclerosis abates and disappears. There is, however, an extreme type of sclerosis which is not rare and Fig. 189—Sclerotic Metritis with Pyometra. /, Cervical canal ; 2, sclerotic annular folds of cervix pushing canal far downward ; j, cavity of uterus and horn containing pus. Uterine mucosa destroyed. which it is important to recognize clinically. This type I have designated as sclerotic metritis. It is characterized by greatly thickened walls, one-half to one inch in diameter, very dense and hard. A typical example is shown in Fig. 189. The disease is evidently the result of long-continued intra-uterine irritation. It may be due to fetal retention, as shown in Fig. 171. In the definitely post-puerperal cases I have not been able to trace the disease to its fundamental cause as all my examples are from the abattoir and hence without clinical history. It appears fairly safe to attribute the condition ordinarily to neglected or maltreated retained


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