. Clinical gyncology, medical and surgical. upon the ovaritis and peri-tonitis. The discharge of the contents of a septic tube is sooner or later INFLAMMATORY LESIONS OP THE PELVIC PERITONEUM. 423 interfered with by the changes in the uterus and the thickening of thewalls of the tube at the uterine horn. If, as has been known to occur inconnection with pathological conditions of the uterus, blood be effused fromthe tubal mucous membrane during menstruation, the swelling of the im-prisoned or pinioned tube and the pressure upon the surrounding tissuesadd to the general inflammation. Pathology.—
. Clinical gyncology, medical and surgical. upon the ovaritis and peri-tonitis. The discharge of the contents of a septic tube is sooner or later INFLAMMATORY LESIONS OP THE PELVIC PERITONEUM. 423 interfered with by the changes in the uterus and the thickening of thewalls of the tube at the uterine horn. If, as has been known to occur inconnection with pathological conditions of the uterus, blood be effused fromthe tubal mucous membrane during menstruation, the swelling of the im-prisoned or pinioned tube and the pressure upon the surrounding tissuesadd to the general inflammation. Pathology.—The pathological conditions consist of the various diseasesof the pelvic organs with adhesions. The adhesions may involve changesin the omentum and intestines similar to those observed in chronic primarypelvic peritonitis (</. v.). Organized exudates usually exist in the connectivetissue contiguous to the diseased viscus and on the peritoneal covering,gluing it to the neighboring peritoneal surfaces that envelop other viscera, Fig. Adhesions due to secondary peritonitis.—D, intestine; P, peritoneum: Oi, internal os; Oe, externalos: Td, right tube; Ts, left tube; Od, right ovary; Os, left ovary-; Lrd, right round ligament; , leftround ligament; Par, parovarium. (Bandl.) spread over the pelvic connective tissue, or line the pelvic walls. Changesdue to antecedent acute primary inflammation are often present. Pus-tubes or suppurating ovaries are generally surrounded by extensiveand firm adhesions, with an abundance of exudate in the immediate vicinity and greatly increased vascularity of the pelvic organs. In very old cases,however, the pus may lose its virulent character and become an inoflendingmass of granular debris. Rupture of a pyosalpinx or suppurating ovaryinto the rectum, into the posterior vaginal fornix, or externally in the iliacor inguinal region may be followed for a long time by a fistula that closesand breaks out periodically. If efficient drainage is
Size: 1855px × 1347px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, booksubjectgynecology, booksubjectwomen, bookyea
