Transactions of the American Association of Obstetricians and Gynecologists for the year ... . ) in that there is a more diffuseinfiltration of the muscularis by polymorphonuclear cells, many ofwhich are eosinophiles. The rugae are in marked contrast with theforms that prevail in hydrosalpinx. Here they are rather shortand broad, particularly across the distal end portions. The lateralfusing is extensive. Case XIII.—Tubal Pregnancy with Chronic Infection and InfectedCorpus Luteum. Aged twenty-nine years. The gross specimen includes an ovary and Fallopian lube. Theovary exhibits an extruded cor
Transactions of the American Association of Obstetricians and Gynecologists for the year ... . ) in that there is a more diffuseinfiltration of the muscularis by polymorphonuclear cells, many ofwhich are eosinophiles. The rugae are in marked contrast with theforms that prevail in hydrosalpinx. Here they are rather shortand broad, particularly across the distal end portions. The lateralfusing is extensive. Case XIII.—Tubal Pregnancy with Chronic Infection and InfectedCorpus Luteum. Aged twenty-nine years. The gross specimen includes an ovary and Fallopian lube. Theovary exhibits an extruded corpus luteum, 2 by cm. in size, witha wall averaging mm. in thickness. The cavity is 12 mm. 200 JAMES E. DAVIS, by 18 mm. and represents a typical cyst. The Fallopian tubeexhibits a ruptured wall with organized blood clot in situ, the rup-ture having taken place proximal to the mid-point of the to the mid-point a small cyst is seen upon the under side,and the fimbriae are seen to be closely drawn against the section a small fetus was observed within the Case —Drawing of gross specimen. Lower.—Photomicrograph of the dense pus cell infiltration of the corpus luteumshown at a in the drawing. Microscopic Examination.—Section (a) shows a typical corpusluteum of pregnancy with an extensive infection. The infection isin multiple foci, eight being counted in this section. In each thereare typical pus cell debris and hemolyzed red blood cells. Section (b) shows a wall with extensive connective tissue hyper-plasia. The mucosa exhibits two types of folds, one long and nar- CHANGES IN THE OVIDUCT. 261 row, typical of the fimbriae, and the other type of branchedfolds found in the distal part of the tube. The tubal wall is greatlydistended, and the fimbriae are flattened against the inner surfaceof the wall by the pressure from an organizing blood clot within thelumen. The blood clot, mucosa, and submucosa are infiltrated withpus cells.
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Keywords: ., bo, bookcentury1900, booksubjectgynecology, booksubjectobstetrics
