Gynaecology for students and practitioners . l ostium, in this case, is effected by the escapeof blood, which sets up perisalpingitis and causes adhesion of theostium to neighbouring surfaces. Two other varieties, non-inflam-matory in character, are met with, viz. that due to tubal pregnancyand that associated with cryptomenorrhcea {see p. 172). It is in ectopic gestation that true hsematosalpinx is most commonlyseen, and this occurs mechanically, net as the result of hsematosalpinx is also on rare occasions secondary 614 GYNECOLOGY to hsematocolpos and hsematomet
Gynaecology for students and practitioners . l ostium, in this case, is effected by the escapeof blood, which sets up perisalpingitis and causes adhesion of theostium to neighbouring surfaces. Two other varieties, non-inflam-matory in character, are met with, viz. that due to tubal pregnancyand that associated with cryptomenorrhcea {see p. 172). It is in ectopic gestation that true hsematosalpinx is most commonlyseen, and this occurs mechanically, net as the result of hsematosalpinx is also on rare occasions secondary 614 GYNECOLOGY to hsematocolpos and hsematometra in cases of imperforate hymen{see p. 173). Hsemorrliage into the lumen of the tube occasionallyoccurs in axial rotation of a mobile tubal swelling, and this gives riseto the same type of acute abdominal symptoms as are associated withtorsion of the pedicle of an ovarian cyst {see p. 702). Suppurative Salpingitis Suppm:ative inflammation of the tube is usually due to an acuteascending infection which has reached the tube from without. The. Fig. 329. Suppurative Salpingitis (Early Stage). Under a high power the round-celled infiltration of the stroma is seen ; pus-cells and lymphocytes are present in the lumen. organisms are vk-ulent and invade (1) the connective-tissue elementsof the mucosa, and (2) the entire tube-wall as far as its peritonealcoat. There is fust seen a very marked thickening of the plicae {see ) ; this is due in part to the dilatation of the blood- and lymph-vessels, and in part to an inflammatory infiltration of the stromawith polymorphonuclear pus-cells and mononuclear round cells,the latter being derived from the proliferation of the fixed connective-tissue cells. Numerous lymphocytes also are seen both in the swollen PLATE XIX
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