SALPINGITIS — SALPINGO-OVARITIS. 555 



l)y hand, and the uterus daily washed out with some non-irritant 

 but effectual disinfectant. Even after apparent recovery a period of 

 probation should elapse before the cow is again put to the bull. 



The genital organs and vaginae of the still healthy animals may 

 also be irrigated with a disinfectant solution, in order, if possible, to 

 ward off infection. For disinfecting the channels and floor of the 

 stable quick-lime will be found clean, non-odorous, cheap and effective. 



In dealing with this disease one must always bear in mind the 

 great vitality of the bacterium, the relatively long time it may per- 

 sist either in the animal's body or in the infected sheds, and the 

 considerable period which may elapse before its effects become evident. 



The same or a similar organism seems capable of producing 

 abortion in sheep and mares. 



SALPINGITIS-SALPINGO'OVARITIS. 



This section will be brief, because the condition is very far from 

 having been thoroughly elucidated. Moussu himself has only studied 

 a single case of simple suppurative salpingo-ovaritis. 



Salpingitis and salpingo-ovaritis, i.e., inflammation of the Fallo- 

 pian tubes and of the ovaries, can only develop as a consequence of 

 ascending infection, as a complication of acute or chronic metritis, 

 by auto-infection during the course of tuberculosis, or as an accident 

 during what is known as tubal gestation. 



Tuberculous salpingitis is frequent, and exists in a very large 

 majority of cases of genital tuberculosis. Accidental salpingitis as a 

 consequence of tubal gestation is extremely rare, and is usually over- 

 looked or mistaken for some other condition. 



From the clinical standpoint, therefore, we recognise two varieties 

 of salpingitis — the one suppurative, the other tuberculous. 



Symptoms. The external symptoms are similar to those of 

 metritis, because salpingitis develops as a complication of metritis 

 after parturition, abortion, or retention of the after-birth. The only 

 external symptom is a discharge of varying quantity from the vulva. 

 This may be intermittent or permanent, and it is accompanied by 

 frequent expulsive efforts in no respect characteristic. 



The nature of the lesions is ascertained by rectal examination, and 

 as lesions of the uterus, of the Fallopian tube, and sometimes of 

 the ovary often co-exist, the examination must be carried out me- 

 thodically and gently in order to distinguish between the parts 

 touched. The normal relationships may be modified by uterine 

 lesions, inflammatory adhesions, local peritonitis, etc. 



Diagnosis. The diagnosis requires care. 



