The etiological importance of gonorrhoea in relation to some of the more common diseases of women.

  • Cullingworth, Charles J. (Charles James), 1841-1908.
Date:
[1889]
Catalogue details

Licence: Public Domain Mark

Credit: The etiological importance of gonorrhoea in relation to some of the more common diseases of women. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    absorbed. The adherent band of omentum was no doubt disturbed by my manipulations, allowing further escape of pus and debris from the diseased tube, which, instead of being absorbed, became septic, and so set up the fatal peritonitis. That is the most reasonable explanation I feel able to give of the fatal termination of the case. Two other points I wish to call your attention to, before I pass on, namely, (i) the occurrence in the same tube of a hydro- salpinx at one end and a pyosalpinx at the other ; and (2) the fact that rupture of the Fallopian tube may take place at a part where there is no appreciable dilatation. If Dr. Lewers had not happened to mention to me the possibility of rupture occurring under such circumstances, and to recall to my recollection a case of the kind that he had pub- lished,1 I should not have been led to make so careful an examination of the interior of the Fallopian tubes, and the ulcerations and perforations I have described would have remained undiscovered. I must not, however, forget that I undertook to speak this evening of the relation of gonorrhoea to some of the more common diseases of women. Full of interest as the foregoing case undoubtedly is, it cannot be pretended that perforation of the Fallopian tube is a common affection. I hasten, therefore, to give a brief outline of one or two cases of a more ordinary kind. Take, for example, the following, where the woman became infected after having been married five years and borne two children : Case ill.—K. B., aged 27, a straw-worker, was admitted into Adelaide Ward June 14th, 1888. The younger of her two children was 2 years and 4 months old. For the past nine months she had suffered from a thick yellow vaginal discharge, accompanied with pain in the hypogastric and 1 Trans. Obst. Soc., vol. xxvii., p, 298.