Treatise on gynæcology : medical and surgical . of the mucous membrane, addsSchroder, differs essentially from retention of the placenta, which isoften described under the inappropriate name of endometritis postabortum, and which is only a hemorrhage post abortum due to incom-plete contraction of the uterus and its vessels. Lesions of tlie Cervix.—Anatomically it is incorrect to speak ofmetritis of the body as distinct from metritis of the cervix, for these 148 CLINICAL AND OPERATIVE GYNAECOLOGY. two portions of the uterus are never completely independent; mostfrequently the lesions are synchr
Treatise on gynæcology : medical and surgical . of the mucous membrane, addsSchroder, differs essentially from retention of the placenta, which isoften described under the inappropriate name of endometritis postabortum, and which is only a hemorrhage post abortum due to incom-plete contraction of the uterus and its vessels. Lesions of tlie Cervix.—Anatomically it is incorrect to speak ofmetritis of the body as distinct from metritis of the cervix, for these 148 CLINICAL AND OPERATIVE GYNAECOLOGY. two portions of the uterus are never completely independent; mostfrequently the lesions are synchronous and undergo a parallel evolu-tion. However, there is often a more decided localization of the dis-ease in one or the other of these different parts; and as the cervix isthe more exposed to traumatism, cervical metritis predominates. Ifthe mucous membrane of the cervix is thoroughly diseased, the pro-cess is carried step by step into the fibrous and muscular portions, andthus a veritable parenchymatous metritis occurs with every inflam-. ?? -W mJ$W)\MMsmg% Fig. 105.—a, 6, Simple papillary erosion; c, follicular. Slightly enlarged. mation of the cervix if of long duration. Cornil expressly describesa parenchymatous metritis which may be partial. For example, thelesions are at times restricted to the cervix in the ectropion of thepart caused both by thickening of the mucous membrane, turnedoutward into the vagina, and by thickening of the connective tissuebeneath the mucous membrane and between the muscular fibres. Inthis connective tissue lesions of recent inflammation can often bedemonstrated, by thickness of the trabecular and of the interposed The neck of the uterus may present special and very diverse lesions THE PATHOLOGY AISLD ETIOLOGY OF METRITIS. 149 in metritis; there may be lacerations, ectropion, hypertrophy, conges-tion, varix, granulations, folliculitis, erosions, ulcerations, cysts, andovules of Naboth, etc., etc. When this part of the uterus
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