File:Clinical gyncology, medical and surgical (1895) (14804617023).jpg

Identifier: clinicalgyncolog00keat (find matches)
Title: Clinical gyncology, medical and surgical
Year: 1895 (1890s)
Authors: Keating, John M. (John Marie), 1852-1893 Coe, Henry Clark, 1856-
Subjects: Women Gynecology
Publisher: Philadelphia, Lippincott
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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connective tissue;C.J., connective tissue bearing lut; ^blood-vessels; t, ureter. (Freund.) which the peritoneal endothelium and glandular structure are developed;hence all cases of peritonitis are, to a certain extent, also cases of cellulitis, 440 INFLAMMATORY LESIONS OF THE PELVIC CONNECTIVE TISSUE. particularly that which we have called the secondary form, in which theinflammation starts in the viscera and extends through the connective tissueto the peritoneal surface. But there are certain pelvic organs, such as thelower rectum, urethra, bladder, vagina, and cervix uteri, which have littleor no peritoneal covering; inflammation in these organs may involve thesurrounding connective tissue without reaching the peritoneum, or may in-volve the peritoneum to a limited extent only: hence the term peritonitiswould be an inadequate one. The connective tissue has no function except the passive one of sup-porting and protecting the organs and tissues. It may be affected by inflarn- Fig. 6.
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Lymphatics of the uterus. (Poirier.) mation due to direct traumatism, by extension from the neighboring organsand tissues, and by the introduction of septic agents. Cellulitis dependingupon traumatism is of transient duration, and as an acute affection is un-important unless connected with other pelvic disease or complicated by theintroduction or supervention of sepsis. Cellulitis may also extend froman inflamed Fallopian tube, uterus, vagina, bladder, rectum, etc. Theseforms are called parasalpingitis, parametritis, paracolpitis, paracystitis,paraproctitis (W. A. Frcund), but are more commonly included under theterm parametritis (Virchow). The most important forms, clinically, arethose dependent upon the invasion of the connective tissue by septicagents, and are called septic phlegmon, diffuse suppurative cellulitis, pelvicabscess, etc. The numerous lymphatic vessels about the uterus extending throughthe base and upper part of the broad ligament to the pelvic walls play animportant p

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