Gynaecology for students and practitioners . gnosed before operation, but whenopened up after removal, the tuftedor papillary character {see Fig. 353),and yellow-ochre colour, of their innerwall is diagnostic. Follicular Abscess. An unripe or ^^ ^ ^ , , atresic follicle, or what will later be jl <;^^ * • V . ^ described as a theca-lutein cyst, may become infected via the blood-stream,as we have already seen in acuteoophoritis. It is quite possible thatthis may also occur in subacute andchronic oophoritis. In such cases, wemast assume that the infection occursthrough actual penetration of th
Gynaecology for students and practitioners . gnosed before operation, but whenopened up after removal, the tuftedor papillary character {see Fig. 353),and yellow-ochre colour, of their innerwall is diagnostic. Follicular Abscess. An unripe or ^^ ^ ^ , , atresic follicle, or what will later be jl <;^^ * • V . ^ described as a theca-lutein cyst, may become infected via the blood-stream,as we have already seen in acuteoophoritis. It is quite possible thatthis may also occur in subacute andchronic oophoritis. In such cases, wemast assume that the infection occursthrough actual penetration of the thinwalls of such cysts as project on thesurface of the ovary. It is a well-known fact that although the gono-coccus usually produces a surface-inflammation, it, nevertheless, iscapable of penetrating into cellulartissues. In suppuration of unripefollicles, the theca-lutein cells are often seen as a flattened laminalining the cavities, but the papillary or tufted appearance of thelining membrane of a corpus-luteum abscess is never v-x J.^ \ Fict. 353. Lutein. Abscess, show-ing one of the tufts which givethe papilliferous or frog-spawn appearance to the yellow abscess-wall. The section was taken fromsj)ecimen shown in Fig. 352. Chronic Interstitial Oophoritis This condition is generally bilateral, but it is not invariably is almost always enlargement of the ovary and fixation of theorgan to the pelvic wall, or in the pouch of Douglas, where it is proneto gravitate by reason of increase in weight and size. Causation. Gonorrhoea is the most frequent cause of chronic oo-jjhoritis. It is therefore most common in young women betweentwenty and thirty years of age. In children and virgins a latejit INFLAMMATION OF THE OVARY 649 appendicitis may be the cause, or an acute puerperal oophoritis may,as already stated, pass into a chronic stage. It may be that circulatorydisturbances, of a non-inflammatory nature, produce the same histo-logical changes in the ovary as tho
Size: 1284px × 1947px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
