. Pelvic inflammation in women. pelvic peri-toneum. This complete invasion has been observed to take place inless than two weeks from the time of the initial infection of the rapidity of the advance, however, is dependent on the virulence ofthe infection and the resistance of the tissues. When the infection occursnear the menstrual period, or at the time of emptying a gravid uterus,extension to the tubes and pelvic peritoneum is very rapid. Our clinical experience would seem to indicate that when the cor-poreal endometrium is infected, the disease extends to the tubes and fromthese
. Pelvic inflammation in women. pelvic peri-toneum. This complete invasion has been observed to take place inless than two weeks from the time of the initial infection of the rapidity of the advance, however, is dependent on the virulence ofthe infection and the resistance of the tissues. When the infection occursnear the menstrual period, or at the time of emptying a gravid uterus,extension to the tubes and pelvic peritoneum is very rapid. Our clinical experience would seem to indicate that when the cor-poreal endometrium is infected, the disease extends to the tubes and fromthese to the ovaries. Nevertheless it has been impossible to establish GONORRHEA 49 with any accuracy the frequency of the invasion of the adnexa. Menge,in combining the statistics of Bumm, Sternschneider, Fabry, Briischke,Brose and Welander, found that the tubes, ovaries and pelvic peritoneumwere involved in 25 per cent of acute, and 50 per cent of the chroniccases. As we have already stated, the primary tiil^al lesion is an endosaU.
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