Gynaecology for students and practitioners . e. In children and virgins a latejit INFLAMMATION OF THE OVARY 649 appendicitis may be the cause, or an acute puerperal oophoritis may,as already stated, pass into a chronic stage. It may be that circulatorydisturbances, of a non-inflammatory nature, produce the same histo-logical changes in the ovary as those caused by infection ; so that allsources of irritation leading to increased blood-supply to the ovariesmust be considered in the etiology of this form of oophoritis. Notablythese are uterine myomata, ovarian tumours of the opposite side, sexua
Gynaecology for students and practitioners . e. In children and virgins a latejit INFLAMMATION OF THE OVARY 649 appendicitis may be the cause, or an acute puerperal oophoritis may,as already stated, pass into a chronic stage. It may be that circulatorydisturbances, of a non-inflammatory nature, produce the same histo-logical changes in the ovary as those caused by infection ; so that allsources of irritation leading to increased blood-supply to the ovariesmust be considered in the etiology of this form of oophoritis. Notablythese are uterine myomata, ovarian tumours of the opposite side, sexualexcitement (masturbation, coitus interruptus, etc.). The patient her-self will often give as a cause, chill, getting wet during a period,and this cannot be excluded, as it may lead to a determination ofblood to the inner genital organs sufficient to produce an extension of apre-existing inflammation. Macroscopically, the ovary is almost always enlarged. The surfaceis frequently covered by adhesions ; it is uneven and lobulated, partly. Fig. 354. Small Cystic Degeneration of the Ovary (Williamson)Ihe cysts are atresic follicles. from an unusual number of distended follicles, partly in consequence ofdeep depressions and folds of the cortex itself {ovarium gyratum). Microscopically, there is (1) a more or less uniform thickening ofthe tunica albuginea, visible as white spots similar to the tendinousspots of the cardiac ventricle ; (2) an increase of the connective tissueof the stroma accompanied by a marked reduction or total disappear-ance of the primordial follicles ; (3) the corpora albicantia and cysticfollicles are increased in numbers, due sometimes to impairment inthe retrogression and absorption of the lutein tissue, the latter re-maining as compact hyaline masses ; (4) in other cases the ovary isconverted into a mass of non-nucleated fibrillary connective tissue,and becomes reduced in size and very hard. Small-cystic Degeneration of the Ovary. Sclerocystic
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
