The American text-book of obstetrics for practitioners and students . a dirty greenish or abrownish color. Endometritis.—The endometrium is the chief point from which infec-tion spreads throughout the body. The endometrium may be the seat ofa catarrhal inflammation, when it is red. swollen, covered with a purulentfluid, and sometimes studded with small round pustules. The lips ot the osare swollen and covered with granulations that easily bleed. Other form- fendometritis soon implicate the deeper layers of the uterus, and need no specialdescription apart from that to be given under Metritis. M
The American text-book of obstetrics for practitioners and students . a dirty greenish or abrownish color. Endometritis.—The endometrium is the chief point from which infec-tion spreads throughout the body. The endometrium may be the seat ofa catarrhal inflammation, when it is red. swollen, covered with a purulentfluid, and sometimes studded with small round pustules. The lips ot the osare swollen and covered with granulations that easily bleed. Other form- fendometritis soon implicate the deeper layers of the uterus, and need no specialdescription apart from that to be given under Metritis. Metritis.—Metritis may assume four different forms—the simple, the diph-theritic, the dissecting, and the putrescent. Simple Metritis.—In the simple form the uterus is much enlarged, its wallsarc thick, the tissue is soft and friable, and near the inner surface almost difflu-ent, cherry-colored, and bathed in a dirty greenish-brown fluid. Real ab- * Aidoitis i> derived from oidoZov, vulva; clpiti> v- ?. gulf, the Greek Dame for 212 AMERICAN TEXT-BOOK OF OBSTETRICS. scesses may form in the wall, the pus of which may become inspissated or beevacuated by rupture. The cervix is often torn or bruised. Diphtheritic metritis is characterized by a condition similar to that just de-scribed in the external genitals. As a rule, the process begins in the may, however, also begin at the uterine ostium of the tube, and spreadthrough the wall as a yellow layer out to the peritoneal coat of the metritis (Fig. 129) is a form that has been little heeded.* Inthis form a large piece of the muscular tissue of the uterus is severed from itssurroundings, and is expelled sometimes so long as seven weeks after confine-ment. Putrescent Metritis.—In the putrescent form the walls of the uterus are sothin that they show impressions of the intestine. The uterus is large. Themucous membrane of the interior hangs in discolored shreds, or it is easilym
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