346 



Diseases of the Genital Organs 



sions. Is this because in such cases as Figures 107 and 109 

 the infection of the uterine cavity has been primary (vene- 

 real) and in those cases with extensive adhesions, as in 

 Figures 104 and 106, the infection has invaded the tract by 

 continuity from the general peritoneum? The freedom of 

 the oviducts in Figure 107 appears to emphasize this sug- 

 gestion. 



^ 



Fig. ioS— Uterine Tuberculosis Involving chiefly the Uterine Glands, the 

 peritoneum being free. Longitudinal Section of Fig. 107. 

 CC, Cervical canal ; /, pus in cavity of cornu ; .?, pus in apex of cornu. 



When the uterus is enlarged, sclerotic and comparatively 

 free from adhesions, the tuberculous character is difficult 

 of clinical recognition. One may meet with similar sclero- 

 tic hypertrophy in actinomycosis (primary genital) and in 

 chronic purulent sclerotic metritis with destruction of the 



