This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1896 Excerpt: ...due to the presence of cholesterine. Frequently it is the colour of chocolate. This condition is termed hydrosalpinx, and may be defined as a Fallopian tube, distended with fliuid in consequence of inflammatory occlusion of its abdominal ostium (Fig. 93). The changes arising in the occluded and distended tubes are such ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1896 Excerpt: ...due to the presence of cholesterine. Frequently it is the colour of chocolate. This condition is termed hydrosalpinx, and may be defined as a Fallopian tube, distended with fliuid in consequence of inflammatory occlusion of its abdominal ostium (Fig. 93). The changes arising in the occluded and distended tubes are such as we are familiar with in the case of the gall-bladder, vermiform appendix, or pelvis of the kidney, when they become cysts by retention. The first effect of the accumulating fluid upon the walls of the tube is to stretch them; this continual pressure induces atrophy, the pathological sequence. The epithelium and mucous membrane become thin and atrophied until nothing but a thin-walled transparent cyst with delicate ridges remains, representing all that is left of the longitudinal plicas of the tubal mucous membrane. The shape of a typical hydrosalpinx is very characteristic, and though not invariable, is fairly constant; it resembles a legume with somewhat blunt ends; the ovary always occupies the concave border of the legume, and the bent shape of the cyst is doubtless due to the traction exercised by the tubo-ovarian fimbria or ligament. In some specimens the situation of the ostium is indicated by a depression, from which a series of folds radiate, as in Fig. 94, reminding us of the ridges and furrows on the face of a stump after a circular amputation through the thigh or arm. In hydrosalpinx the tubes rarely attain a large size. This is due to the fact that as the tube distends the mucous and muscular coats atrophy. The largest examples of hydrosalpinx which have come under my observation have not exceeded 16 cm. in length, with a diameter of 8 cm. Cullingworth removed one containing nearly a litre of fluid. The walls of these cysts wer...
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