Modern surgery, general and operative . t tends strongly to spontaneous rupture, and, if this is permitted to occur,a livid, corrugated scar results. Tuberculous Abscesses of Joints.—(See Section XX.) Tuberculous Abscess of Rib.—It is not uncommon to find a tubercu-lous abscess of moderate size about a tuberculous rib. The pleura may be-come involved secondarily. Tuberculous mediastinal abscess may result from the downward passageof a cervical abscess; from tuberculosis of the sternum, ribs, vertebrae or pleura,or from tuberculous mediastinal glands. Tuberculous abscess of the breast is a case
Modern surgery, general and operative . t tends strongly to spontaneous rupture, and, if this is permitted to occur,a livid, corrugated scar results. Tuberculous Abscesses of Joints.—(See Section XX.) Tuberculous Abscess of Rib.—It is not uncommon to find a tubercu-lous abscess of moderate size about a tuberculous rib. The pleura may be-come involved secondarily. Tuberculous mediastinal abscess may result from the downward passageof a cervical abscess; from tuberculosis of the sternum, ribs, vertebrae or pleura,or from tuberculous mediastinal glands. Tuberculous abscess of the breast is a caseated and liquefied area of tuber-culosis of the mammary gland. A lump is detected, which slowly enlargesand finally ruptures, sinuses being formed. The axillary glands are aptto be implicated. The patient may belong to a tuberculous stock, as arule gives a history of previous tuberculous troubles of various sorts, and ^ For a lucid description of these abscesses see Owens Manual of Anatomy, from whichmuch of the above is Fig. 105.—Psoas abscess (Albert). 268 Surgical Tuberculosis has usually borne children. Tuberculous abscess of the breast causes little orno pain. Treatment of Tuberculous Abscess.—For many years the majority ofsurgeons would not o|)en a tuberculous abscess unless it was on the j)oint ofrupturing. With the advent of antiseptic surgery it was assumed that asepticincision and drainage would be the proper treatment for these cases; butthe results, except in small superficial tuberculous abscesses, have been ex-tremely disappointing. If a large abscess is so treated, pyogenic infection will,in all probability, sooner or later occur, with all its possibilities of and drainage is the treatment for small and superficial abscesses. Treatment of Small Superficial Tuberculous Abscesses.—The surgeonmust remember that after one has opened an apparently superficial abscessit is his duty to make an examination to see that there is no c
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