Gynaecology for students and practitioners . Fig. 203. Cheonic Metritis showing great Thickening of the IJTEEErEWalls and thickened Vessels with Patent Fig. 204. Chronic Metritis associated with Chronic SALriNGo-ooPHOR-itis and an Intra-uterine Mucous Polypus. Note the thickening of the arterial walls. met with, and that most cases described as cJironic metritis are reallyexamples of sub-involution. We have already expressed the view, 420 GYNECOLOGY however, that, in spite of the absence of clinical or microscopic evidencesof inflammation, sub-involution itself is usually due to a mil


Gynaecology for students and practitioners . Fig. 203. Cheonic Metritis showing great Thickening of the IJTEEErEWalls and thickened Vessels with Patent Fig. 204. Chronic Metritis associated with Chronic SALriNGo-ooPHOR-itis and an Intra-uterine Mucous Polypus. Note the thickening of the arterial walls. met with, and that most cases described as cJironic metritis are reallyexamples of sub-involution. We have already expressed the view, 420 GYNECOLOGY however, that, in spite of the absence of clinical or microscopic evidencesof inflammation, sub-involution itself is usually due to a mild form ofsepsis {see p. 251). (1) True Chronic Metritis. The state of the muscle-wall of theuterus in cases of acute sepsis has already been described in the sectiondealing with uterine sepsis {see p. 244). It is fair to assume thatin acute gonorrhoeal infection the same inflammatory exudationsoccur as in puerperal sepsis, but most probably they are not so the later stages these have disappeared, having given place tofibrous-tissue formation. The fibrous tissue is most marked in theouter third of the muscle wall, but it extends throughout the


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1