The diseases of women : a handbook for students and practitioners . d. Such a tube becomespassively distended with fluid and converted into a legume-shaped cyst. A hydrosalpinx sometimes possesses walls so thin thatit is translucent and devoid of adhesions. In other casesthe wall is universally adherent. Some, if not most, exam-ples of hydrosalpinx are secondary to pyosalpinx, the puru-lent contents of which have become sterile. DISEASES OF THE FALLOPIAN TUBES. 219 Hydrosalpinges vary greatly in size: the specimen repre-sented in Fig. JJ is of average proportions. When a hy-drosalpinx exceeds


The diseases of women : a handbook for students and practitioners . d. Such a tube becomespassively distended with fluid and converted into a legume-shaped cyst. A hydrosalpinx sometimes possesses walls so thin thatit is translucent and devoid of adhesions. In other casesthe wall is universally adherent. Some, if not most, exam-ples of hydrosalpinx are secondary to pyosalpinx, the puru-lent contents of which have become sterile. DISEASES OF THE FALLOPIAN TUBES. 219 Hydrosalpinges vary greatly in size: the specimen repre-sented in Fig. JJ is of average proportions. When a hy-drosalpinx exceeds that size, it will often form a swellingappreciable above the brim of the true pelvis ; very largespecimens are often erroneously termed tubo-ovarian cystsand ovarian hydroceles. Intermitting Hydrosalpinx.—It has been stated on clinicalevidence that the fluid in a hydrosalpinx may escape throughthe uterus, the blockade of the uterine end of the Fallopiantube being raised. Such a condition is termed hydropstubae profluens, the escape of the fluid taking place at. Fig. 77.—Hydrosalpinx. irregular intervals. Profuse discharges of pus and fluidoccur in connection with pyo- and hydrosalpinx, accompa-nied by a diminution in the size of the tumor, due to theformation of a fistula between the cyst and the rectum orthe vagina. It is a fact of some interest that the uterine end of theFallopian tube is rarely obliterated in salpingitis. Of coursethe tumidity of the mucous membrane would be sufficientin most cases to obstruct the passage of fluid from the tubeinto the uterus. Hematosalpinx.—This term is applied to a distended 220 DISEASES OF WOMEN. non-gravid Fallopian tube with an occluded abdominalostium. The cavity contains blood or blood-stained fluid. Haematosalpinx is a rare condition: many specimens for-merly catalogued under this term prove on careful exam-ination to be gravid tubes. This matter is discussed in thesection devoted to Tubal Pregnancy. Sclerosis of the Tubes.—


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