. The Principles and practice of gynecology : for students and practitioners. ncy of the cervix at all times, especially upon slight trau-matisms, to become infected. The cervical glands, well adapted toreceive, retain, and distribute infection, easily become a culture-groundfor bacteria. Once intrenched in the gland-crypts, the germs mayremain relatively quiescent for long periods, and then may developnew cultures and spread. ... Among the more frequent predisposing causes of endocervicitis are the following : Puerperal laceration of the cervix. Excessive coitus. Foreign bodies, tumors, polyp
. The Principles and practice of gynecology : for students and practitioners. ncy of the cervix at all times, especially upon slight trau-matisms, to become infected. The cervical glands, well adapted toreceive, retain, and distribute infection, easily become a culture-groundfor bacteria. Once intrenched in the gland-crypts, the germs mayremain relatively quiescent for long periods, and then may developnew cultures and spread. ... Among the more frequent predisposing causes of endocervicitis are the following : Puerperal laceration of the cervix. Excessive coitus. Foreign bodies, tumors, polypi. 213 214 INFECTIONS, INFLAMMATIONS, AND ALLIED DISORDERS. The Exciting Causes are bacteria, especially gonorrhoea!, whichmay reach the cervix direct or be carried by extension from thevulvovagina or endometrium. Sequence and Pathology of Endocervicitis. The pathological sequence of a seemingly insignificant infection ofthe cervix uteri, especially if acute, may be either by continuity ofsurface to endometritis, salpingitis, peritonitis, and ovaritis; or by the FiGUEE A, mucous polyxji of the cervix uteri—follicular hypertrophy. One polypjus has been seizedwith forceps and is being removed with scissors. B, small mucous polypi hanging out of thecervix uteri ; C, mucous polypi being removed from the cervical canal with the sharp curette. pelvic lymphatics and veins to pelvic lymphangitis, phlebitis, peri-tonitis, and ovaritis : thus acute infection seldom is confined to thecervix, but is apt to involve the other parts of the uterus. Thecorpus uteri and adjacent organs are more likely to be involved if thechronic cervicitis has followed an acute inflammation ; less likely ifit was chronic from the beginning. The swollen mucosa, especially if the cervix be lacerated, takes CHRONIC ENDOCERVICITTS. 215 the direction of kast resistance, and may protrude tliroiiuli tlie osexternum. Tlie tliiekened evertetl mncons membrane may oive tothe cervix the appearance of great enhirgeme
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