A textbook of obstetrics . d the ovum has been expelled atthe end of the second to the fourth month of pregnancy (Schroe-der). Polypoid endometritis is closely simulated by bloodextravasations between the decidua and the chorion, as shown infigure I 1 Catarrhal Endometritis.—A chronic inflammation of the de-cidual endometrium will occasionally affect chiefly the glandular 1 Mtiller, Bau der Molen, 1867. 2 Walther, Centralbl. f. Gyn., 1S92, p. 707. 148 PREGNANCY. elements of the membrane, with the result of a hypersecretion of a thin, watery mucus, which, collecting between the chorionand d
A textbook of obstetrics . d the ovum has been expelled atthe end of the second to the fourth month of pregnancy (Schroe-der). Polypoid endometritis is closely simulated by bloodextravasations between the decidua and the chorion, as shown infigure I 1 Catarrhal Endometritis.—A chronic inflammation of the de-cidual endometrium will occasionally affect chiefly the glandular 1 Mtiller, Bau der Molen, 1867. 2 Walther, Centralbl. f. Gyn., 1S92, p. 707. 148 PREGNANCY. elements of the membrane, with the result of a hypersecretion of a thin, watery mucus, which, collecting between the chorionand deciduae, may be suddenly expelled, after a rupture of theovular decidua, in the later months of pregnancy. This oc-currence gives rise to sudden gushes of fluid from the vagina,which may reach a pint in quantity. Afterward the fluid maydribble away for a considerable length of time without affectingseriously the course of pregnane), or else, collecting again inconsiderable quantities, it may excite the uterus to muscular. Fig, 116.—Tuberous subchorial hematomata of the decidua (authors case). action. This affection occurs more frequently in multipara thanin primipane, and seems to depend in some cases upon a waterycondition of the womans blood. The mucous discharge is oneof the forms of hydrorrhea gravidarum. Cystic Endometritis.— If there should be a hypersecretion ofthe uterine glands, and the escape of the fluid contained in theglandular Spaces should be hindered, a condition results, onlyfound in very young ova, known as cystic endometritis. It isnot improbable that this condition might be found quite con- THE DECIDUJE. I 49 stantly in the earlier stages of the chronic hyperplastic decidualendometritis already described, the glands being destroyed andobliterated as the disease advances. A section of mucous mem-brane affected with cystic disease presents a somewhat cavernousappearance, numerous small cysts being scattered throughoutits thickness. Their connection with
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