Outlines of the diseases of women / by John Phillips.

  • Phillips, John.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Outlines of the diseases of women / by John Phillips. Source: Wellcome Collection.

    209/332 (page 189)
    should this fluid become purulent, as is not infrequent in septic cases, we have to encounter one form of pelvic abscess. The results of peritonitis may be very serious ; _ the ovaries and tubes become bound down by adhesions, thus interfering with their mobility and functions. The ovaries may be prolapsed into Douglas's pouch and fixed there, while the tubes are distorted, and their calibre narrowed at different parts of their course, or obliterated, thus producing sterility, the occurrence of pyosalpinx, or extra-uterine gestation. The uterus becomes bound down in a, Fig. 106. Successive accumulations of lymph between rectum and uterus in pelvic peritonitis. The patient is in the dorsal decubitus and the parts viewed from the right side, the intestines are pushed up out of the pelvis and the uterus is anteponated. The darker shading indicates the firmer constitution of the lymph exudation. state of retro- or lateri-version, and if the former, the rectum may be narrowed. Owing to the passive congestion thus arising from the interference with the pelvic circulation, dysnienorrhcea (p. 68) and pelvic pain result. Occasionally a portion of bowel may be constricted so as to interfere with its mobility or produce acute strangulation. This may occur as a sequela to an exploratory incision or to the removal of an ovary and tube.