Gynecology . bacteria gain entrance through them. childbirth, violent coition, attempts at criminal abortion, etc. Such an inflam-mation may become of the gravest import by extending to the pelvis and causinga fatal septic peritonitis. The infection may remain localized and has, duringhealing, an especial tendency to cause atresia of the vagina. Treatment is carried out by hot or cold antiseptic douches, with applicationof rubber or glass plugs during convalescence to prevent the formation of vaginaladhesions. Localized abscesses require incision and drainage. GENERAL INFLAMMATORY PROCESSES 19
Gynecology . bacteria gain entrance through them. childbirth, violent coition, attempts at criminal abortion, etc. Such an inflam-mation may become of the gravest import by extending to the pelvis and causinga fatal septic peritonitis. The infection may remain localized and has, duringhealing, an especial tendency to cause atresia of the vagina. Treatment is carried out by hot or cold antiseptic douches, with applicationof rubber or glass plugs during convalescence to prevent the formation of vaginaladhesions. Localized abscesses require incision and drainage. GENERAL INFLAMMATORY PROCESSES 199 CERVICITIS AND END O CERVICITIS Non-specific infections of the cervix and cervical mucous membrane are, inthe majority of cases, due to lacerations that result in erosion or ectropion. Thissubject is treated in the section on Lacerations from Childbirth. Erosion of the cervix is occasionally seen in virgins, and is accountable forthe persistent leukorrhea from which they sometimes suffer. The cause of these. Fig. 54.—Chronic Endocervicitis. High Power of the Cervical glands are dilated and were filled with mucus containing desquamated epithelial cells,round cells, and bacteria, but have become emptied in preparing the section. At places, as in theupper left corner, the epithelium is absent. The stroma between the glands is edematous and infil-trated with round cells. erosions is not definitely known. It is probable, however, that it is due to ab-normal mechanical irritation, for the condition is most frequently seen whenthere is a malposition of the cervix, so that it impinges on the anterior vaginalwall, or when the cervix is disproportionately long, so that it is in too close con-tact with the posterior wall. In cases of genital atrophy and vaginitis the cervix may take part in the 200 GYNECOLOGY inflammation and result in plastic adhesions, causing atresia with hydro- or pyo-metra {q. v.). The symptoms of endocervicitis and cervicitis consist of leukorrheal di
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