Pathology and treatment of diseases of women . ily interpreted. Primary ovarian tuberculosis so far has not been positively observed(Orthmann). In rare cases, ovarian tumors (cystoma) may also become infectedwith tuberculosis. 5. Peritoneum Peritoneal tuberculosis is very frequent, and attacks, as a rule, youngindividuals. It has always a secondary origin in one of three different ways. PATHOLOGY OF THE VAGINA AND UTERUS 199 (1) by hematogenous infection. (2) directly by immigration of bacilli from the intestines or the retro-peritoneal lymph-nodes. (3) by immigration of bacilli from the lungs
Pathology and treatment of diseases of women . ily interpreted. Primary ovarian tuberculosis so far has not been positively observed(Orthmann). In rare cases, ovarian tumors (cystoma) may also become infectedwith tuberculosis. 5. Peritoneum Peritoneal tuberculosis is very frequent, and attacks, as a rule, youngindividuals. It has always a secondary origin in one of three different ways. PATHOLOGY OF THE VAGINA AND UTERUS 199 (1) by hematogenous infection. (2) directly by immigration of bacilli from the intestines or the retro-peritoneal lymph-nodes. (3) by immigration of bacilli from the lungs and pleurae through thestomata of the diaphragm. The rarest form of infection is from the female genitalia, correspond-ing to the relatively rare primary infection of this tuberculosis has two principal forms: (1) The diffuse miliary form mostly accompanied by a profuse ascites.(See Fig. 108.) (2) The so-called dry form with multiple adhesions of the abdom-inal organs with each other and with the peritoneum, often with abun-. FlG. 108.—Tuberculosis Peritonei, t, tubercle, the tissues surrounding it arestrongly infiltrated. (Authors preparation. Zeiss, Obj. AA, Oc. 2.) dant ascites or cheesy formations in the sacculated hollow spaces, v,Rosthorn would consider the latter as a special third form, but both areso intermingled that we consider them as different varieties of the sameform. In this way encapsulated abscesses may arise which in their turnagain may rupture into the hollow organs (intestines, bladder). Diagnosis The diagnosis of genital tuberculosis must be considered as a verydifficult one. Only when pronounced general symptoms of tuberculosis(lungs, bones, joints) are present can it be considered with a tolerablecertainty that a genital disease existing at the same time is also tuber-culous. The diagnosis in such cases is easy and positive. We havealready referred, in considering the individual organs, to the fact that 200 DISEASES OF WOMEN tuberculo
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Keywords: ., bookcentury1900, bookdecade1, booksubjectgynecology, bookyear1912
