Gynecological diagnosis and pathology . cus, staphylococcus, pneumococcus, or bacillus coli. As a rulethe infection takes place on the mucous surface and very soon the wholeextent of this surface becomes involved. The mucous membrane becomesswollen and cedematous, so that in the ampulla and infundibulum the foldsare so thickened as to impinge upon each other and practically to blockthe lumen (fig. 130). The mucosa of the fimbria; becomes correspondinglycongested. An increased amount of secretion results which is at firstserous and later purulent. The surface epithelium proliferates and, ifthe


Gynecological diagnosis and pathology . cus, staphylococcus, pneumococcus, or bacillus coli. As a rulethe infection takes place on the mucous surface and very soon the wholeextent of this surface becomes involved. The mucous membrane becomesswollen and cedematous, so that in the ampulla and infundibulum the foldsare so thickened as to impinge upon each other and practically to blockthe lumen (fig. 130). The mucosa of the fimbria; becomes correspondinglycongested. An increased amount of secretion results which is at firstserous and later purulent. The surface epithelium proliferates and, ifthe inflammation continues, is killed and desquamates (fig. 131). Themuscular coat becomes oedematous and infiltrated with inflammatory SALPINGITIS •3i cells (fig. 132), and in streptococcal cases small localised abscesses maybe produced. The |>eritoiieaI coat is injected and in the later stages iscovered with a serous exudation which leads to the formation of adhe-sions. To the naked eye, such a tube is thicker, more tortuous, and of. Fig. 131.—Salpingitis. One of the folds of mucous membrane more highly magnified, showing thecellular infiltration and desquamation of epithelium.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1