HUMAN ANATOMY. 



, 



Wta b ahesions dis- 







rtoneal vanetv, secondary rupture into the general peritoneal cavity may 



later and the ovum may go on to full term within the abdominal cavity 



Tin- Fallopian tut* offers a passageway in the opposite direction for the entrance 



of infections, especially gonorrhceal, from the vagina and uterus into the peritonea 



cavitv When inflammation involves the tube, it is followed soon by a closure of 



lh , mnbriated extremity, the fimbrue adhering to each other, to the ovary, or to 



some adjacent peritoneal surface. Later the uterine end of the tube also closes and 



pus which results from the infection now accumulates within the tube {pyo- 



salt, 1 may greatly distend it. If the infection is gonorrhceal, such a pus-tube 



without rupture "i* frequently unaccompanied by acute symptoms. Slight ruptures 



with leakage int.. the peritoneal cavity followed by sharp attacks of localized pelvic 



peritonitis often occur. A large rupture may give rise to a diffuse septic peritonitis, 



although the danger of this result in a case of chronic pyosalpinx, even if of enormous 



;uin after acute gangrene of the appendix with escape of a relatively 



Mite portion of its contents. In the former case a certain degree of immunity has 



'.ably been established during the slow formation of the pyosalpinx (Binnie) ; and 



in, IT* >v. . . in many such cases (61 per cent, Penrose) the contained pus has become 



:ile. 



When the inflammation is of a mild grade the accumulation may be of a serous 

 character < //r</mv<; //>/>/>, and may become so large as to reach half-way to the 

 umbilicus. If hemorrhage occurs into the tube it is called an hcematosalpinx. 



The proximity of the right Fallopian tube to the appendix should be recalled, as 

 salpingitis on that side lias not infrequently been mistaken for appendicitis, and Tict 

 Vfrsa. The right ovary is often connected with the meso-appendix by a fold of peri- 

 . urn, the appendiculo-ovarian ligament ; and it is stated that the fact that this 

 fold often contains a small artery which gives an additional blood-supply to the ap- 

 pendix helps to account for the relative infrequency of appendicitis in females. 



Kt IMMENTARY ORGANS REPRESENTING FCETAL REMAINS. 



The development of the reproductive organs (page 2042) emphasizes the fact 



that whereas, in the male, the Wolthan body and its duct play a very important role 



in the j.todmtion of the excretory canals for the sexual gland, the Mullerian duct 



remains rudimentary ; in the female, the converse is true, the Mullerian ducts forming 



the f\, retorv canals the tul>es, the uterus, and the vagina while the Wolman 



litres arc secondary in importance and give rise to only rudimentary and func- 



iless organs. >ituated < hietly in the vi< inity of the ovary and Fallopian tube between 



lavers of th<- l.road li-.mient. These foetal remains include the cpoophoron, 



>:. and the :;-sicular fl/yVW.j^r.v, which may be appro- 

 K des. lil.ed in this place. 



The Epoophoron. This rudimentary organ, paroi-arium or or^an of 



the layers ol the broad ligament (mesosalpinx) in front 



lan vessels, in the arts bounded 1,\- the ampulla of the oviduct, the 



ovarian nmbri.i and tin- tulul pole of the ovary. It is quite flat, triangular, or 



