. Diseases of women. A clinical guide to their diagnosis and treatment. inx. The tube is generallythinned, so that its wall gets translucent. The adhesionswhich fix it are generally thin and few (Figs. 80, 81).Clinically it resembles a small ovarian cyst, but, is attendedwith more pain. Most operations for the removal ofhydro-salpinx are done under the belief that a smallovarian cyst is present. Such specimens require carefulexamination to distinguish them from tubo-ovarian cysts;and probably some of them become tubo-ovarian cysts. Ihave seen the wall of a tube containing serous fluid greatlyt
. Diseases of women. A clinical guide to their diagnosis and treatment. inx. The tube is generallythinned, so that its wall gets translucent. The adhesionswhich fix it are generally thin and few (Figs. 80, 81).Clinically it resembles a small ovarian cyst, but, is attendedwith more pain. Most operations for the removal ofhydro-salpinx are done under the belief that a smallovarian cyst is present. Such specimens require carefulexamination to distinguish them from tubo-ovarian cysts;and probably some of them become tubo-ovarian cysts. Ihave seen the wall of a tube containing serous fluid greatlythickened, f A hydro-salpinx is seldom much larger thanan orange; but CullingworthJ has removed one containing32 oz. of fluid. From the fact that hydro-salpinx isnot seen in old women, Bland Sutton§ infers that it * See Lewers, Obst. Trans., vol. xxvii. p. 298, and Culling worth, « , vol. xxx. p. 406. f See Obst. Trans., vol. xxxiii. X Diseases of the Fallopian Tube, 1895. § Surgical Diseases of Ovaries and Fallopian Tubes, 1896. SALPINGO-OOPHORITIS. 227. is often spontaneously cured either by rupture or byatrophy. , Haemato-salpinx.—The most common cause of hemato-salpinx is tubal gestation. It is sometimes due to inflamma-tion—salpingitis hcemorrhagica—but we know not the specialcauses that pro-duce this formof inflammation,nor can we diag-nose it. The fre-quency withwhich hseinato-salpinx accom-panies hsemato-metra is groundfor believingthat during menstruation Fig. 80. - Hydro-salpinx. (After Cullingivorth.) the tubes some-times bleed as well as the uterus; but such bleeding, ina healthy state of the tubes, does not lead to their dilata-tion; it either flows into the uterus, or possibly into theperitoneum, where it is absorbed. Relation of hydro-salpinx and haemato-salpinx to pyo-salpinx.—The tube may befilled either with serous fluid,pus, or blood. There is reasonto think that they may be-come changed, one into theother, during the progress ofthe illne
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