Gynaecology for students and practitioners . bC X ri Ph ^ .2 CO p-l ?+J <D Hi < o Hi s CO <a O A XI i^ _o 3 Pm 2 +i w ^ o t= -*i O ?cS c3 iJ o t) Q ^ t3 tf S CU o [3 0) ,13 H 02 3 o CO -3o o £0 ft O £« <5 <1 TUBERCULOSIS OF THE GENERATIVE ORGANS 311 there may be nodular thickenings, more especially near the fimbriated extremity may be patent and even patulous; whenclosed the fimbriae are not, as a rule, indrawn, but remain visible(Fig. 148). Three types of tuberculous salpingitis are met with :(a) perisalpingitis, (6) endosalpingitis, (c) interstitial salpingitis,but
Gynaecology for students and practitioners . bC X ri Ph ^ .2 CO p-l ?+J <D Hi < o Hi s CO <a O A XI i^ _o 3 Pm 2 +i w ^ o t= -*i O ?cS c3 iJ o t) Q ^ t3 tf S CU o [3 0) ,13 H 02 3 o CO -3o o £0 ft O £« <5 <1 TUBERCULOSIS OF THE GENERATIVE ORGANS 311 there may be nodular thickenings, more especially near the fimbriated extremity may be patent and even patulous; whenclosed the fimbriae are not, as a rule, indrawn, but remain visible(Fig. 148). Three types of tuberculous salpingitis are met with :(a) perisalpingitis, (6) endosalpingitis, (c) interstitial salpingitis,but all three forms often occur together. In (a) the peritoneumcovering the tube is studded with tubercles. In (6) the plicae areswollen and infiltrated, their tips become denuded ofe. pithelium. Fig. 149. Nodular Salpingitis (Salpingitis isthmica nodosa(von Franque). a a extent of peritoneal coat of tvibe. and stick together, thus forming pseudo-cysts (salpingitis pseudo-follicularis). The epithelium may also undergo metaplasia andkeratinization, and instead of a single layer of columnar cells, irregu-larly shaped cells, in many layers, are formed by proliferation. Insome cases these changes are so marked as to resemble other cases the epithelium is totally destroyed and the tubelumen filled by caseous debris. A variety of endosalpingitis is theso-called nodular salpingitis, in which the epithelium is carriedquite deeply into the muscularis, where it proliferates in an adeno-matous manner, whilst both the muscle and connective tissueundergo hyperplasia, so that histological resemblance to an adeno- 312 GYNECOLOGY myoma is produced {see Fig. 150. This trespassing of epithelium,known as epithelial heterotopy or epithelial displacement, is notpeculiar to tuberculou
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
