Gynecological diagnosis and pathology . f the pelvis, it may pointthrough the abdominal wall. These cases of pelvic abscess are usuallythe result of a tubal infection, but they occasionally arise from anappendicitis where the appendix is hanging over the pelvic brim. Theinitial symptoms are those of salpingitis or appendicitis. The subsequentformation of pus is indicated by the continuance or aggravation of pain,together with irregular rises in temperature with or without rigors andan increasing leucocytosis. On vaginal examination it may be impossibleto say whether the swelling felt is entire
Gynecological diagnosis and pathology . f the pelvis, it may pointthrough the abdominal wall. These cases of pelvic abscess are usuallythe result of a tubal infection, but they occasionally arise from anappendicitis where the appendix is hanging over the pelvic brim. Theinitial symptoms are those of salpingitis or appendicitis. The subsequentformation of pus is indicated by the continuance or aggravation of pain,together with irregular rises in temperature with or without rigors andan increasing leucocytosis. On vaginal examination it may be impossibleto say whether the swelling felt is entirely due to a collection in theperitoneum or is partly tubal. Two forms of chronic peritonitis of pelvic origin call for specialmention in both of which the abdominal peritoneum comes to be involved, PERITONITIS AND CELLULITIS 185 namely, the Tuberculous and Malignant Tuberculous peritonitis in thefemale has often its starting-point in the Fallopian tube. The pathologyof this lias been already described on pages 134-8. In all eases where. Fig. 175.—Vertical Section of the Broad Ligament and PelvicCellular Tissue along the Line BB in Fig. 174.—(After Freund.) The vagina is divided in the lateral fornix, showing the cervix. A corner of thebladder is cut through with the ureter behind it. The rectum is also the continuity of the cellular tissue in the broad ligament with that roundthe bladder and the lateral fornix, and its extension towards the rectum in theutero-sacral ligament.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
