THE REPRODUCTIVE ORGANS OF THE FEMALE. 701 



ture of dilated tube sometimes occurs; or severe and even fatal haemorrhage ma}* take 

 place into its cavity. Papillary growths are sometimes found springing from the inner 

 wall of the cyst. 



HEMORRHAGE. 



Haemorrhage into the tube may occur iu puerperal women with retro- 

 version of the uterus, with abortions; hsematonietra and tubal preg- 

 nancy ; in acute infectious diseases. The blood may undergo degenera- 

 tive changes and be largely absorbed, or it may escape into the peritoneal 

 cavity and incite peritonitis. 



INFLAMMATION. (Salpingitis.) 



Catarrhal Inflammation of the mucous membrane of the Fallopian tubes 

 commonly occurs in connection with endometritis, frequently in the puer- 

 peral condition. In the acute stage the mucous membrane is hyperseniic 

 and swollen, and covered with a mucous or muco-puruleut often bloody 

 exudate. The inflammation may subside, leaving no lesions, but it more 

 frequently becomes chronic, and may then result in peritoneal adhesions, 

 thickening of the walls, obliteration of the tubes, dilatation, etc. ; or the 

 mucous membrane may undergo hyperplasia with papillary outgrowth. 

 Such papillary masses may partially coalesce, forming on the accumula- 

 tion of fluid, cyst-like cavities lined with epithelium. Hyperplasia of 

 the muscle wall of the tube may be associated with these conditions. ' 



Suppurative Salpingitis. Catarrhal inflammation of the mucous mein- 



FIG. 458. PYOSALPINX. 

 The distended tube containing pus is attached to the ovary. 



brane may assume a suppuratlve character, sometimes in connection with 

 puerperal metritis and peritonitis, and often as a result of gonorrhoeal 



1 Consult Ries, Jour. Exp. Med., vol. ii., p. 347, 1897, bibliography. 



