. Diseases of women. A clinical guide to their diagnosis and treatment. ut peritonitis.—Weknow nothing about the symptoms, if any, which are causedby inflammation affecting the Fallopian tubes, but not theperitoneum. Those who have investigated the conditionof the Fallopian tubes in the dead body tell us that catarrhof the tube, indicated by congestion of the mucous mem-brane and the presence of a little serous fluid in the tube,is common; and no one has yet described, any symptomsof pelvic disease in such patients. Acute suppurative * See Lewers, Obst. Trans., vol. xxx., and Targett, Obst. Tr
. Diseases of women. A clinical guide to their diagnosis and treatment. ut peritonitis.—Weknow nothing about the symptoms, if any, which are causedby inflammation affecting the Fallopian tubes, but not theperitoneum. Those who have investigated the conditionof the Fallopian tubes in the dead body tell us that catarrhof the tube, indicated by congestion of the mucous mem-brane and the presence of a little serous fluid in the tube,is common; and no one has yet described, any symptomsof pelvic disease in such patients. Acute suppurative * See Lewers, Obst. Trans., vol. xxx., and Targett, Obst. Trans.,vol. xxxvii. t See Cullingworth, Obst. Trans., vol. xxxvi. 222 DISEASES OF WOMEN. salpingitis, leading to peritonitis, has never yet been diagnosed until the peritonitis had begun. Salpingo-obphoritis. — When inflammation of the tube has extended to the peritoneum, lymph is thrown out which becomesorganised intoadhesions whichbind togetherthe tube, ovary,and adjacent pe-ritoneum ; andthese parts forma lump, the com-ponent parts ofwhich cannot bedistinguished. Fig. 76 —Diagram illustrating salpingitis; right tubethickened and closed. (After Martin.) By the time we can be sure present, the ovaries and tubes are mattedflanimatory exudation around them (Figs. without openingthe abdomen,that salpingo-oophoritis is together by in-76, 77, 78). Aclassification tobe useful mustbe Iadopt a classi-fication of thesecases accordingto their clinicalfeatures. In-flammation ofthe tube maybe of threekinds: ( 1 )Simple catar-rhal inflamma-tion ; (2) Inflammation with thickening; (3) Inflammationwith dilatation, according to the predominant change. 1. Catarrhal salpingitis. By this I mean an inflammationdue to a transient cause. If this cause is an organism,
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