. Clinical gyncology, medical and surgical. toinflammation of short duration. In such cases, if flatus can be made to INFLAMMATORY LESIONS OF THE PELVIC CONNECTIVE TISSUE. 439 escape from the rectum and the pulse is strong and bounding and notbeyond 120 nor the temperature above 104° F., it may be well to wait forthe first reaction to subside. It, however, the symptoms after thirty-six orforty-eight hours are progressive, instead of being stationary or retrogres-sive, the advisability of operative interference ought to be considered. Colliquative diarrhoea calls for evacuation of the pus, if i
. Clinical gyncology, medical and surgical. toinflammation of short duration. In such cases, if flatus can be made to INFLAMMATORY LESIONS OF THE PELVIC CONNECTIVE TISSUE. 439 escape from the rectum and the pulse is strong and bounding and notbeyond 120 nor the temperature above 104° F., it may be well to wait forthe first reaction to subside. It, however, the symptoms after thirty-six orforty-eight hours are progressive, instead of being stationary or retrogres-sive, the advisability of operative interference ought to be considered. Colliquative diarrhoea calls for evacuation of the pus, if its locationcan be determined before the vital powers have become too much stomach is usually unable to digest sufficient food to keep up thestrength, and rapid exhaustion may be expected. PELVIC CELLULITIS (PARAMETRITIS, PARACOLPITIS,PARAPROCTITIS, PARACYSTITIS, PARASALPINGITIS). Connective tissue exists in all parts of the body; it surrounds theabdominal and pelvic viscera, and constitutes the framework upon and in Fig. Pelvic connective tissue.—S,sacrum; B, bladder; R, rectum; C. ., cervix uteri; C, connective tissue;, connective tissue bearing lut; ^blood-vessels; t, ureter. (Freund.) which the peritoneal endothelium and glandular structure are developed;hence all cases of peritonitis are, to a certain extent, also cases of cellulitis, 440 INFLAMMATORY LESIONS OF THE PELVIC CONNECTIVE TISSUE. particularly that which we have called the secondary form, in which theinflammation starts in the viscera and extends through the connective tissueto the peritoneal surface. But there are certain pelvic organs, such as thelower rectum, urethra, bladder, vagina, and cervix uteri, which have littleor no peritoneal covering; inflammation in these organs may involve thesurrounding connective tissue without reaching the peritoneum, or may in-volve the peritoneum to a limited extent only: hence the term peritonitiswould be an inadequate one. The connective tissue has
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