Traité de gynécologie : médecine et chirurgie . Fig. 8.-Hyperteophic chroniques salpingite. La section transversale du tube montré dans Fig. 7. (Mag-nified 10 diamètres.) 1, épaissie et paroi du tube sclérosées ; 2, épaissie et united vilU ; 3, pseudo-structures glandulaires ; 4, de sang-navire ; 5, accessoire de la gaine tube.VOL. II.-2 18 et clinique de gynécologie opératoire. formation de tissu cicatricielle provoque la contraction. C'est probablement l'état avancé de l'amore pachy-hypertrophique salpingite qui hasgone sur à la cirrhose des trompes de Fallope. Le tissu musculaire dis-api3oreilles avant l'ii

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Treatise on gynaecology : medical and surgical . Fig. 8.—Chronic Hyperteophic Salpingitis. Transverse section of the tube shown in Fig. 7. (Mag-nified 10 diameters.) 1, Thickened and sclerosed wall of the tube ; 2, thickened and united vilU; 3, pseudo-glandular structures ; 4, blood-vessel; 5, accessory duct of the tube.VOL. II.—2 18 CLINICAL AND OPERATIVE GYNAECOLOGY. formation of cicatricial tissue causes contraction. This is probably amore advanced state of the hypertrophic pachy-salpingitis which hasgone on to cirrhosis of the Fallopian tubes. The muscular tissue dis-api3ears before the iibrous tissue, the whole organ contracts, and, inextreme cases, is changed to a hard and impermeable cord. Boldt ^^has carefully studied and des.cribed these lesions. He has often seenthe lumen of the tube completely obliterated by agglutination of the. T—H Fig. 9.—Atrophic Form of Chronic Salpingitis (Boldt). Slight enlargement. Remains of mucousfolds and obliterated lumen. H, Hypertrophy of submucous connective tissue and of the middle coat;Jf, scattered muscular fibres cut transversely ; A, arterioles near the peritoneal surface. walls. He compares the destruction of the epithelium which occursunder those circumstances to cirrhosis of the liver and kidneys.Orthmann describes, under the name of follicular salpingitis, an ana-tomical lesion which scarcely merits a special classification. It is dis-tinguished by cystic cavities in the walls, giving it an areolar ap-pearance, but this pseudo-glandular character is common to all thevarieties of tubal inflammation (Figs. 5 and 6.) In all the varieties that I have described, the tube may continue to OOPHORO-SALPUSTGITIS WITHOUT CYSTIC TUMOR. 19 form a canal open at both ends, and the permeability of the ostinmuterinum allows of an evacuation of the mucus as soon as it is formed.Thi

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