352 Diseases of the Genital Organs 



cal lesion, when open, is evidently extremely dangerous. 

 These cysts, usually found laterally from the os uteri ex- 

 ternum, presumably consist of retention cysts in the ducts 

 of Gartner (See page 39). 



(5) Vaginal tuberculosis is apparently very rare. Fig- 

 ure 105 illustrates the only specimen in my collection. It 

 was not recognized clinically, although I examined the pa- 

 tient several times. However, I did not search for vaginal 

 tuberculosis. Possibly it was of recent origin. 



It is important for the veterinarian, in dealing instru- 

 mentally with diseases of the genitalia, to bear in mind that 

 he may, by the careless use of the uterine forceps, implant 

 the infection in the cervix, or in the vagina at its point of 

 continuity with the cervix. He may re-infect these parts, 

 through instrumental lesion, with the discharges from the 

 patient's uterus. If careless in his methods, he may carry 

 the infection from a tuberculous cow to a healthy one. Un- 

 der reasonable precautions, the danger is quite negligible. 

 Figure 105 shows the tuberculous lesions within the vaginal 

 wall, closed. If open, the lesion would have the same danger 

 as an open lesion of the cervix. 



(6) Vulvar tuberculosis has occurred twice in my prac- 

 tice, each time readily diagnosed, though in one case the 

 nature of the lesion was at first misleading. In this case, 

 at the first examination, a cyst one inch in diameter, located 

 apparently in Bartholin's gland (See page 44), was incised, 

 and a small amount of sero-purulent content escaped. Prior 

 to my next examination, the patient had reacted to the tu- 

 berculin test. When I examined her, the lesion presented 

 the typical characters of a tuberculous ulcer. My second 

 case was more readily diagnosed. The vulvar lip. which 

 was swollen and sclerotic, presented an old fistulous open- 

 ing, from which small volumes of thick pus could be pressed 

 out. Centripetally, a tuberculous gland, two to three inches 

 in diameter, lay alongside the vagina. In addition, both 

 supramammary glands were greatly enlarged, and at each 

 internal inguinal ring glands three inches in diameter were 

 palpable. Autopsy showed extensive generalized tubercu- 

 losis. 



