THE REPRODUCTIVE ORGANS OF THE FEMALE. 



673 



miliary tubercles, or these may be scattered through the otherwise in- 

 tact mucosa. J 



Syphilitic Endometritis. This is usually confined to the cervical por- 

 tion, and is characterized by shallow or deep ulcerations and condylomata 



s? 



1 ' i ... 

 C^V-y 



FIG. 436. FIBROUS AND GLANDULAR HYPERPLASIA OP THE CERVIX UTERI. 



The figure shows one side of the cervix in longitudinal section. The fibrous tissue of the "cervix is very 

 dense and the walls of the blood-vessels are thickened. There is hyperplasia of the glands of the cervical 

 canal with erosion of the surface epithelium. The Nabothian glands are distended with clear, glairy fluid, 

 (ovula Nabothi). There is erosion of the epithelium at the os externum, and this with the congestion of the 

 small superficial vessels here, gave a rough red appearance to the os, suggestive of a malignant growth. 



of the mucous membrane ; or there may be a diffuse thickening of the 

 mucosa. 



Acute Metritis is usually associated with acute catarrhal endometritis. 

 The organ is swollen, succulent, congested ; the mucous membrane covered 

 with muco-pus ; the peritoneal coat congested. There may be small ex- 

 travasations of blood in the wall or cavity of the uterus. The inflamma- 

 tion, in rare cases, becomes suppurative, and abscesses are formed in the 



1 For bibliography see Culkn, Johns Hopkins Hospital Reports, vol. iv., p. 441, 1895. 

 43 



