Identifier: gynaecologyforst00eden (find matches)
Title: Gynaecology for students and practitioners
Year: 1916 (1910s)
Authors: Eden, Thomas Watts, 1864-
Subjects: Gynecology Gynecology
Publisher: New York : Macmillan
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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ion does not soon subside, the mouth of thetube becomes closed, pus collects in the lumen, and the muscular andsubserous layers, which are already softened and swollen by oedema,yield to the pressure exerted by the contained purulent secretion ;thus the tube-wall becomes stretched and relatively thinned out, butnever to the same degree as seen in hydrosalpinx. The final result isa pyosaljpinx. On the other hand, the initial inflammatory attackmay be followed by a relapse or by repeated recurrences of subacuteand chronic inflammation. Instead of a pus-sac forming, the tube-wall then becomes thickened, and a state of interstitial suppurativesalpingitis is produced. The result of suppurative salpingitis on thetube is, therefore, twofold. The tube may become chronically thickenedforming a pus-tube (interstitial salpingitis), or it may become dis-tended and dilated to form a pus-sac (pyosalpinx). It is commonto find that the inner portion shows interstitial changes while the 616 GYNECOLOGY
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INFLAMMATION OF THE FALLOPIAN TUBE 617 ampuUary portion is distended with pus, so that both varieties of suppu-rative salpingitis may occur in the same tube. The formation of apyosalpinx will be considered first. Pyosalpinx (Sactosalpinx Purule7ita). The mechanism by whichretention of pus produces a pyosalpinx is in many respects similar tothat by which the fluid of a hydrosalpinx is confined within the lumen

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