INFLAMMATIOl:^. 313 



tinguish the fibrin by its irregular appearance from every other 

 constituent of the exudation, as it is difficult to convey any idea 

 of the difference in words. It resembles neither a crystal, nor 

 a cell, nor a fibre ; it is a coagulum, for the appearance of which 

 I refer the reader to figs. 100 and 101. 



§ 270.— Adhesive inflammation. The two issues which are 

 common to every inflammatory process, towards organisation 

 on the one hand, towards suppuration on the other (§§ 91-106) 

 recur as usual in the case of serous inflammations. They are 

 doubly interesting in the present case however, inasmuch as they 

 are modified in accordance with the anatomical peculiarities of 

 the tissue, and agree with the typical forms already described 

 only in their essentials. So much must be borne in mind from 

 the outset. Yf e have to do with two opposed surfaces of connec- 

 tive tissue. Eow if these surflices produce the same material, and 

 this material is capable of being organised, the two layers may 

 readily become fused with one another ; indeed it would furnish 

 matter for surprise were such fusion not to occur here and there. 

 Indeed it is quite a usual outcome of organisation for the opposed 

 surfaces to become united by bridges of connective tissue over an 

 area of variable extent. Such bridges are called " adhesions," 

 and the epithet '^adhesive" is transferred to such inflammations 

 as tend from the first to result in organisation of the inflammatory 

 products. 



^ 271. The histological details of adhesive inflammation 

 difter according as the inflamed surfaces of a serous membrane 



Fig. 101. 



il.U,iii,;:i;im;ii;!iiylii'- 



Adhesive inflammafcioTi. Diaphragmatic pleura, a. Muscular 

 substance of the diaphraf^m; 5. Subserous tissue; c. Serous 

 membrane; d. Boundary-line between the serous membrane 

 and the exudation ; e. Exudation. -^ ^^y. {Mch.) 



