Essentials of gynecology : arranged in the form of questions and answers prepared especially for students of medicine.

  • Cragin, Edwin B.
Date:
1913
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Licence: Public Domain Mark

Credit: Essentials of gynecology : arranged in the form of questions and answers prepared especially for students of medicine. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    The pus may be in suiuU amount, or tlie tube may be immensely distended with ])u^. The mucous membrane of the tul)e may be fairly well preserved and the seat of suppurative inflammation, or may be replaced by granulation tissue. Pus-tubes may be drained by rupture into hol- low viscera or intraperitoneal rupture may occur, resulting in pelvic abscess or general peritonitis. We are coming to think of pyosalpinx as gonon'hoeal, except in a small minority of cases. What are the symptoms of salpingitis ? The patient usuallj suffers from a burning and dragging pain in the region of the affected tube, especiallj' on standing and walking. Dysmenorrhoea is common ; repeated attacks of peritonitis are not infi'equent. In the case of pyosalpinx septic sjTuptoms may be pies- ent. There is tenderness on pressure in the lateral vaginal fornix, and on making a bimanual examination an elongated cystic mass can usually be detected at the side of or behind the uterus. What are the results of salpingitis ? A hydrosalpinx ur ha^matosalpinx occasionally subsides so as to cause few symptoms ; they may become purulent and form pyo- salpinx. A hematosalpinx may rupture into the peritoneum or into the broad hgament, forming an hgematocele in the former case, and a haematoma in the latter. A pyosalpinx if unrelieved by operation may continue for years, producing chronic invalidism. Unlike the appendix and gall blad- der, accumulations of pus in the tubes very infrequently rupture, setting up a general peritonitis. A salpingitis rarely subsides completeh'. Tubes are usually left adherent or closed so as no longer to act as oviducts. If not occluded, their kinks and adhesions favor ectopic gestation. Recrudescences follow exposure to cold, even without any reinfection. What is the treatment of salpingitis ? 1. Frophylactic.—Cleanliness and antisepsis during the puerperium and in the use of all instruments. 2. Palliative.—During the acute stage of invasion, rest in bed,