. Pelvic inflammation in women. sheets and ligamentary planes. The sub-serous connective tissue may be traced across the pelvis from front toback, as this tissue is but a continuation of the subperitoneal layer of theabdominal wall. As the peritoneum passes off from the abdominal wall,it is closely applied to the fundus and posterior wall of the bladder; butanteriorly, between the bladder and the symphysis, there is a largerareolar tissue space (the space of Retzii). This loose tissue extends in a PUERPERAL INFECTIONS 83 thin layer along the anterior pelvic wall and over the fascia, coveringth
. Pelvic inflammation in women. sheets and ligamentary planes. The sub-serous connective tissue may be traced across the pelvis from front toback, as this tissue is but a continuation of the subperitoneal layer of theabdominal wall. As the peritoneum passes off from the abdominal wall,it is closely applied to the fundus and posterior wall of the bladder; butanteriorly, between the bladder and the symphysis, there is a largerareolar tissue space (the space of Retzii). This loose tissue extends in a PUERPERAL INFECTIONS 83 thin layer along the anterior pelvic wall and over the fascia, coveringthe obturator internus muscle. Between the posterior wall and the base of the bladder and the cervixuteri and vagina, is a loose connective tissue layer which allows thebladder to be easily stripped off from the front of the uterus and is little loose cellular tissue at the fundus and down the back ofthe uterus, where the peritoneal attachment is firm. Under the peritoneal covering of the cervix and posterior vaginal. Fig. 29.—Transverse Section Through Pelvis at the Level of the Internal Os,Showing How the Cellular Tissue Spreads from the Uterus as a Center,Each Part Reaching the Pelvic Wall. wall a thin layer of connective tissue may be traced, having extensiveconnections with the retroperitoneal tissue at the back of the pelvis; thiscontinues backward to the sacrum in the two uterosacral folds. Thereis also connective tissue at the sides of the rectum and in the mesenteryof the pelvic colon. In tracing the cellular tissue across the pelvis fromside to side, we find it extending from the pelvic wall to the uterus withinthe folds of the broad ligament, and from the uterus to the opposite pelvicwall. At the base of the broad ligament it is condensed into the utero-pelvic ligaments, which make one of the main supports of the uterus. A great increase in the amount of pchnc cellular tissue takes placeduring pregnancy; this explains not only the frequency of parametrit
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