. Atlas and epitome of gynecology . er oneswith blood pigment (9) are found in the stroma (13). The tortuosity(5) of the vessels (4) is a physiologic peculiarity of the ovary; inplaces perivascular round-cell accumulations can be seen (6). Thefollicles are surrounded by the tunica fibrosa (7); the surface of theovary is covered with cuboid germinal epithelium (3). (Originaldrawing from a specimen.) As an intermediate stage we sometimes observe acuteoophoritis or salpingitis in the shape of swollen, exquisitelysensitive adnexa, in the bimanual palpation of which thegreatest gentleness must be e
. Atlas and epitome of gynecology . er oneswith blood pigment (9) are found in the stroma (13). The tortuosity(5) of the vessels (4) is a physiologic peculiarity of the ovary; inplaces perivascular round-cell accumulations can be seen (6). Thefollicles are surrounded by the tunica fibrosa (7); the surface of theovary is covered with cuboid germinal epithelium (3). (Originaldrawing from a specimen.) As an intermediate stage we sometimes observe acuteoophoritis or salpingitis in the shape of swollen, exquisitelysensitive adnexa, in the bimanual palpation of which thegreatest gentleness must be exercised in order to avoid therupture of an abscess or the destruction of an existingencapsulation. (Plates 39, 44, 59, Fig. 3.) General peritonitis may follow an acute or a chroniccourse; the latter is designated as peritonitis pyofibrinosa,and has a more favorable prognosis. The onset of the inflammation is marked by a pro-tracted chill, and is followed by diffuse abdominal abdomen may be so tympanitic and distended that.
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