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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    The peritonitis induced by gonorrhoeal infection is not usually very acute, or attended with severe symptoms. It is at first limited to the parts contiguous to the free ex- tremity of the diseased tube, where thickening takes place, with adhesions and matting together of the contents of the pelvis, especially of the tube, ovary, and broad ligament. The functions of these parts become seriously disturbed and there is produced, on the affected side, a mass of irregular and ill-defined thickening, which can be readily made out on bimanual examination. The mobility of the uterus is also impaired. The case which furnished this specimen of hydrosalpinx is of such exceptional interest as to be worth relating. Case i i. Gonorrhoeal Salpingitis : Hydrosalpinx of Right Tube removed by Abdominal Section: Death from Acute Peritonitis in Fifty-six Hours ; A utopsy; Double Pyo- salpinx with Ulceration and P erf oration ; Escape of Puru- lent Matter into Peritoneal Cavity.—M. C., aged 19, single, was admitted into Magdalen Ward in May, 1888, and trans- ferred to Adelaide August 20th, 1888. At the latter part of 1887 she had a yellow vaginal discharge, with pain in both iliac regions, lasting for eleven weeks. After being better for a month these symptoms recurred in March, 1888, when a swelling developed in the left side, which varied in size from time to time. On ad- mission to Magdalen she complained of pain only on the left side ; she had a thick purulent discharge, which was more profuse when the swelling was less marked, and less so when it became hard and well-defined. Sometimes the discharge was bloodstained. There was no pain on mic- turition. During her stay in Magdalen she had an attack of very severe pain in the left side, with a high temperature and extreme prostration, thought at the time to be due to acute ovaritis. [The sequel makes it probable that these