. Operative gynecology. Three glistening subperitoneal cystsare seen where the tube joins the ovary. C. M., No. size. Fig. 375.—Hydrosalpinx shown in Figure374, seen in Longitudinal Section. The ampulla of the tube is markedly dilatedthroughout and ends in a large bulbous extrem-ity. The ovary is seen flattened out below thecyst. Note the parallel folds of the tubal muco-sa, ending abruptly in little bulbous extremities. of five hundred cases of tubal disease. Landau states that the muscular walls ofthe tube are hypertrophied. The manner of discharge of the fluid varies, occur-ring


. Operative gynecology. Three glistening subperitoneal cystsare seen where the tube joins the ovary. C. M., No. size. Fig. 375.—Hydrosalpinx shown in Figure374, seen in Longitudinal Section. The ampulla of the tube is markedly dilatedthroughout and ends in a large bulbous extrem-ity. The ovary is seen flattened out below thecyst. Note the parallel folds of the tubal muco-sa, ending abruptly in little bulbous extremities. of five hundred cases of tubal disease. Landau states that the muscular walls ofthe tube are hypertrophied. The manner of discharge of the fluid varies, occur-ring either constantly with periods of exacerbation, or at intervals of hours or ofseveral days. After the formation of a definite painful tumor the tube is evacu-ated spontaneously with pain, and the tumor disappears; one of my eases, a large, HYDROSALPINX FOLLICULAKIS. 203 stout woman, was made miserable by the recurring paroxysms of pain. TJieamount of discharge may be as much as half a liter in twenty-four hours; when. Fig. 376.—Htdeosalpinx coNTAUfiifO a Nodolak S-shaped CALcntrs lyikg in the Lumen of the Tube,WHICH IS Adherent to the Ovarv. The calculus is shown in detail in the outline figure to the right. Cambridge, July, 189-4. it accumulates in the vagina, as during the night, on rising it may escape like agush of warm water, much as if the bladder had suddenly emptied itself. C 0 d e i n sometimes has a marked effect in controlling the flow, but it does notgive permanent relief. Removal of one or lioth tubes alone will cure the disease.


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal