Treatise on gynaecology : medical and surgical . we should not hesitateto remove these organs by laparatomy; we can do a supra-vaginalhysterectomy if the cervix is intact, and a total hysterectomy if it isaffected. Tuberculosis of the Ovaries and Tubes.—Pathological Anat-omy.—The ovaries are rarely imxjlicated alone; a few such cases are. GENITAL TUBERCULOSIS. 207 however, given by Klob^^ and Spencer Wells; ^*^ lesions of the tubesare, on the contrary, very frequent. Terrillon ^ has seen simultaneouslesions of the tubes and ovaries three times out of six. Tubal lesionshave also been noted in t
Treatise on gynaecology : medical and surgical . we should not hesitateto remove these organs by laparatomy; we can do a supra-vaginalhysterectomy if the cervix is intact, and a total hysterectomy if it isaffected. Tuberculosis of the Ovaries and Tubes.—Pathological Anat-omy.—The ovaries are rarely imxjlicated alone; a few such cases are. GENITAL TUBERCULOSIS. 207 however, given by Klob^^ and Spencer Wells; ^*^ lesions of the tubesare, on the contrary, very frequent. Terrillon ^ has seen simultaneouslesions of the tubes and ovaries three times out of six. Tubal lesionshave also been noted in the greater number of cases of tuberculousendometritis, and they no doubt form the original source of the infec-tion.^^ AVith the naked eye, we can perceive lesions that greatly resem-ble those of suppurating salpingitis, with or without cystic iDyo-salpinx may be extensive, and possess a capacity of twoquarts.^ The formation of adhesions and its diffusion toward neigh-boring j)arts transform it into pelvic abscess (Fig. 57).. Fig. 57.—Primary Tuberculosis of Tubes and Ovaries. i7, posterior surface of the uterus; in theposterior hp of the cervix are two small mucous cysts; , right ovary enclosing softened caseousmasses which have been evacuated by the tearing apart of the adhesions; T, right tube, which is dilatedand adherent, and forms part of a tuberculous pelvic abscess which is limited by the intestinal loop ofthe ileum. The left ovary and tube are tuberculous, as is the uterine mucous membrane. There was tuber-culosis (secondary?) of the right lung (Kotschau). Of however recent date may be the lesion, it soon invades the peri-toneum, and causes the formation of false membranes, and the serousencysted effusions of perimetro-salpingitis. Fernet * has even foundprogressive invasion of the pleura, and the production of subacuteperitoneo-pleural tuberculosis whose starting-point is a primary lesionof the genital organs. The infection is carried through t
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