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

  • Cragin, Edwin B.
Date:
1913
Catalogue details

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.

    97/258 (page 99)
    I^elvic Peritonitis. What is tile pathology ? The peritoneum first becomes hyperaemic ; it loses its lustre, ana exudation materials are poured out. 1. There may be scarcely any serum exuded ; the inflamed area is coated with fibrin, and adhesions form, binding together the pelvic organs and intestines. 2. The exudation may consist largely of serum, either free in the peritoneal cavity, or encapsulated by adhesions. 3. The exudation in severe, especially septic cases is often pum- lent. Hence the varieties :— a. Adhesive. h. Serous. d. Purulent. What is the etiology ? In a general way, the etiology of pelvic peritonitis may be stated as an extension to the peritoneum of inflammation of the uterus, ovaries or tubes ; in a large majority of the cases, inflammation of the tubes. There may be first an endometritis, then a salpingitis, and then a peritonitis; or the infection may extend by the way of veins and lymphatics from the uterus into the broad ligament, and from there infect peritoneum without the intervention of the tube. Individual causes are as follows :— a. Introduction of sepsis during parturition, abortion or operations. h. Gonorrhoea. c. Introduction into the uterus of septic instruments. d. Injection of fluids through uterus and tubes into the peritoneal cavity. e. Catching cold during menstruation. / Tubercular or cancerous disease of the pelvic organs. g. Tumors causing irritation of the peritoneum. h. Pelvic cellulitis and peritonitis are often associated as being produced by the same causes.