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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    briated extremity, which was closed. The dilated portion was confined to the outer part of the tube, and was lying behind the uterus, the undilated part of the tube being bent upon itself. There were no adhesions about the swollen tube, and it was removed without difficulty along with the ovary. The contents of the dilated tube were serous. The left tube felt as though it contained hard nodules in the substance of its walls ; the left ovary was adherent. There was an adhesion of omentum to the left cornu of the uterus, and another less firmly adherent to the right cornu and adjacent portion of the Fallopian tube. The patient died of septic peritonitis fifty-six hours after the operation. At the necropsy there were some recent peritoneal ad- hesions in the lower part of the abdomen ; a small quantity of thick pus was found in the pelvis. There were two black spots on the peritoneal aspect of the fundus uteri, one at each cornu.1 The tissues beneath were disorgan- ised. A band-like process of great omentum passed to the gangrenous spot on the-left side, and was firmly adherent there. The cavity of the uterus was of average size; the mucous membrane was coated with fluid blood (men- strual ?). On opening the remains of the right Fallopian tube from within, the first half of the intra-uterine portion was normal, the second or outer half was ulcerated, and a perforation, seven millimetres in length, existed on its upper surface, corresponding to the gangrenous spot al- ready described on the right cornu of the uterus. From the outer border of the uterus to the point where the tube had been divided the lining membrane appeared healthy. The left tube was a little dilated, especially at its distal part, which contained some pus. On opening the intra- uterine portion of the tube the inner half of that portion 1 See coloured plate in the Trans. Obst. Soc., vol. xxx., p. 406.