. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. ually absorbedas the uterus increases in size. From this we see that retroversion with adhesions is aprogressive disease ; that it tends to grow worse wherethere is no treatment. Pathological Anatomy and Etiology.—The peritoneumof the female pelvis may become inflamed at any pointwhere it covers the various pelvic organs. Inflamma-tion of the peritoneum is associated with the exudationof fluid and the formation of fibrous adhesions. Whenpus is exuded it is often
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. ually absorbedas the uterus increases in size. From this we see that retroversion with adhesions is aprogressive disease ; that it tends to grow worse wherethere is no treatment. Pathological Anatomy and Etiology.—The peritoneumof the female pelvis may become inflamed at any pointwhere it covers the various pelvic organs. Inflamma-tion of the peritoneum is associated with the exudationof fluid and the formation of fibrous adhesions. Whenpus is exuded it is often shut off by membranes between the uterus and rectum, and then either the pus becomesfatty and is absorbed, or the abscess breaks. When theabscess is emptied healing takes place by the union ofits two walls, which are the uterus and the this way the uterus may become retroverted and boundfirmly to the rectum by a very dense mass of adhesions(Fig. 4326). The membranes resulting from peritonitis may becomelike ligaments and bind the uterus to the rectum (). When two inflamed surfaces of peritoneum on different. Fig. 4320.—Retroversion with Adhesions. (Adapted from Winckel.)I). Douglass fossa obliterated by a mass of adhesions, result of ab-scess ; B, bladder ; T, vagina ; {, uterus ; R, rectum. organs come in contact they are often glued this way the least firm adhesions are formed. Ad-hesions vary greatly in size and toughness. The large,tough ones are the result of often repeated attacks ofperitonitis. If no fresh attack occurs the adhesionstend to disappear very slowly. From being constantlystretched and worn by the respiratory and other move-ments, they may finally be absorbed. In spite of thisfact many adhesions persist for a lifetime ; hence theirimportance to gynaecologists. The causes of this disease are various. Merely thecondition of retroversion may be the cause of a localperitonitis, and hence adhesions. Any local peritonitismay form s
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