A system of gynecology . much paler than it is during life. This fact is of importancein connection with the diagnosis of catarrhal salpingitis, one whichis frequently made at the present day by laparotomists. The membrane is disposed in the isthmus in the form of singlelongitudinal folds, which in the ampulla assume a more complexstructure that is best studied in a cross-section of the tube, observedunder a low power of the microscope. Springing from the primaryrugae are numerous secondary and tertiary folds, which present an1 Anatomy (9th , p. 713. Tlie writer has never observed this ano
A system of gynecology . much paler than it is during life. This fact is of importancein connection with the diagnosis of catarrhal salpingitis, one whichis frequently made at the present day by laparotomists. The membrane is disposed in the isthmus in the form of singlelongitudinal folds, which in the ampulla assume a more complexstructure that is best studied in a cross-section of the tube, observedunder a low power of the microscope. Springing from the primaryrugae are numerous secondary and tertiary folds, which present an1 Anatomy (9th , p. 713. Tlie writer has never observed this anomaly. FALLOPIAN TUBES. 163 appearance almost identical with that of a section made through thewall of a proliferating ovarian cvst. Henning1 says that he hascounted from three to five primary folds and from eight to tensmaller plica between each pair of the former. This statement issomewhat obscure, hut the author probably means that these smallerfolds spring from the surface of the mucous membrane, and not from Fro. Section through Ampulla (Luschka), under low power: a, submucous layer; 6, muscular layer-,c. serous coat; •. vessels; 1, 1, small primary folds; 2, 2, largerlongitudinal and accessory folds; 3, 8, small folds united, forming canaliculi. the larger projections. There are no rugse in the intramural tract ofthe tube. The dendritic arrangement becomes less marked towardthe fimbriated extremity, where the longitudinal folds are quite dis-tinct to the naked eye. The surface of the mucosa is covered normally by a thin layer ofgrayish mucus, which has a distinct alkaline reaction. The variationsin thi amount, color, and viscidity of this mucus cannot be definitelystated, and constantly give rise to Loose diagnoses of catarrhal salpin-gitis. In spite of Bandls assertion, that he had found catarrh of thetubes in more than half of the specimens that he had examined, thewriter believes that one is unwarranted in assuming the presence of apathological condition of
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectwomen, bookyear1887
