File:Treatise on gynaecology - medical and surgical (1894) (14593993308).jpg

Identifier: treatiseongynaec02pozz (find matches)
Title: Treatise on gynaecology : medical and surgical
Year: 1894 (1890s)
Authors: Pozzi, Samuel, 1846-1918 Wells, B. H., tr
Subjects: Gynecology Generative organs, Female Women Gynecology Genital Diseases, Female Gynecologic Surgical Procedures
Publisher: New York : William Wood & Co.
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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ons of perimetro-salpingitis. Fernet * has even foundprogressive invasion of the pleura, and the production of subacuteperitoneo-pleural tuberculosis whose starting-point is a primary lesionof the genital organs. The infection is carried through the lymphat-ics, which Hegar once found to contain cheesy matter. The lym-phatic communications between the pleura and the peritoneumthrough the diaphragm account for the infection. The mesentericglands are often degenerated. The tubercles of the tube, whether primary or secondary to granu-lations in the peritoneal cavity, are recognizable to the naked eye by 208 CLUvTICAL AND OPERATIVE GTlSTiECOLOGY. the increased size of the organ, by the semi-transparent or yellowgranulations upon its surface or in its muscular walls, and by its con-tents. Upon opening the tube longitudinally, we can see that it isdilated, tliat the thickened walls have tuberculous spots usually visi-ble to the naked eye, and that it contains fluid which is more or less
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Fig. 58.—Tuberculosis of the Fallopian Tubes. Section of wall in pyo-salpinx. (Ma^. 150 diam.)Co. fjl., glandular layer: remains of the mucous coat, in which are seen dilated glands; Cg., giant cell inthe centre of a tubercle formed by a collection of epithehoid cells; Nt, tubercular nodules with giantcells; ^, transverse section of an arteriole; &% section of glandular tubes; (?r, internal layer of granula-tions; M, external muscular layer (Munster and P. Orthmann ^5). thick, puriform, grumous, and caseous, and whose characteristics arethe same as those of tuberculosis of the body of the uterus (Fig. 58).Transverse sections obtained after hardening in alcohol show athickening of the wall and hypertropied and branching vegetations.On the internal surface and in the substance of these vegetations and GENITAL TUBERCULOSIS. 209 villi, we often find numerous giant cells, with several ovoid nuclei,which may take on the form of bent, sinuous, or branched rods, andsometimes groups of c

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