Treatise on gynaecology : medical and surgical . rhagic spots on the walls. The abdominal end of the tube was oblit-erated, the uterine extremity merely narrowed. These cases to point to the previous existence of a purulent salpingitis, whichwas saved from cystic dilatation by the permeability of the ostiumuterinum. In the cases observed by me, and by Kaltenbach andSchauta, there was every proof of previously existing gonorrhoea. These authorities attribute too much importance to the muscularhypertrojjhy in the production of the colicky joains of salpingitis;the same pains are notice
Treatise on gynaecology : medical and surgical . rhagic spots on the walls. The abdominal end of the tube was oblit-erated, the uterine extremity merely narrowed. These cases to point to the previous existence of a purulent salpingitis, whichwas saved from cystic dilatation by the permeability of the ostiumuterinum. In the cases observed by me, and by Kaltenbach andSchauta, there was every proof of previously existing gonorrhoea. These authorities attribute too much importance to the muscularhypertrojjhy in the production of the colicky joains of salpingitis;the same pains are noticed when the hyjjertrophy is confined to theconnective tissue, and seem to be due to compression of the nervefilaments, to a perineuritis which Sawinoff has conclusively demon- OOPHORO-SALPINGITIS WITHOUT CYSTIC TUMOE. 17 strated. There is another variety of chronic salpingitis which maybe called atrophic. The cellular infiltration of the walls of the tube,instead of giving rise to a permanent product, is reabsorbed, and by a AP:^ lit .^CE^ p -i-. Fig. 8.—Chronic Hyperteophic Salpingitis. Transverse section of the tube shown in Fig. 7. (Mag-nified 10 diameters.) 1, Thickened and sclerosed wall of the tube ; 2, thickened and united vilU; 3, pseudo-glandular structures ; 4, blood-vessel; 5, accessory duct of the II.—2 18 CLINICAL AND OPERATIVE GYNAECOLOGY. formation of cicatricial tissue causes contraction. This is probably amore advanced state of the hypertrophic pachy-salpingitis which hasgone on to cirrhosis of the Fallopian tubes. The muscular tissue dis-api3ears before the iibrous tissue, the whole organ contracts, and, inextreme cases, is changed to a hard and impermeable cord. Boldt ^^has carefully studied and these lesions. He has often seenthe lumen of the tube completely obliterated by agglutination of the
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