. Atlas and epitome of gynecology . l epoch and when the intra-abdomi-nal tension is increased. Sterility, from the usual combi-nation with oophoritis. Fever (in gonorrhea, only afterexertion or excitement). Prognosis.—Conception is impossible. The patient isalways threatened with peritonitis from perforation. Gon-orrheal pyosalpinx does not rupture easily ; the septic formdoes. Diagnosis,—By bimanual palpation. (See the differen-tial diagnosis of the retro-uterine tumors under OvarianCystomata, and Plate 74, Figs. 1 and 2, and Plate 59, Treatment.—Celiosalpingectomy, stitching the pus sacto t
. Atlas and epitome of gynecology . l epoch and when the intra-abdomi-nal tension is increased. Sterility, from the usual combi-nation with oophoritis. Fever (in gonorrhea, only afterexertion or excitement). Prognosis.—Conception is impossible. The patient isalways threatened with peritonitis from perforation. Gon-orrheal pyosalpinx does not rupture easily ; the septic formdoes. Diagnosis,—By bimanual palpation. (See the differen-tial diagnosis of the retro-uterine tumors under OvarianCystomata, and Plate 74, Figs. 1 and 2, and Plate 59, Treatment.—Celiosalpingectomy, stitching the pus sacto the abdominal wall (Hegar, Kaltenbach) and pressingup the uterus from the vagina (Gusserow) are indicated. Ifthe pyosalpinx is not adherent, its rapture can usually beavoided. If there is distinct fluctuation in the vagina or abdominalwall, free incisions should be made and iodoform gauzedrainage established. (See Chronic Pelviperitonitis.) § 17. CHRONIC —Suppurative oophoritis, due to lymphatic Tab. LUh. Anst E Reichiuild, Miuichm. ETIOLOGY. 127 absorption from the uterus and tubes, and caused by trau-matic or operative septic infection, has been mentioned inconnection with peritonitis in a preceding section. Ovarian abscesses, however, usually follow purulent
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