Tuberculosis of the Female Genitalia 335 



interesting, because casual examination suggests that the 

 avenue of invasion of the ovary was through the physiologic 

 lesion, the crater of a ruptured ovisac. The dense invest- 

 ing tunic of both the testis and the ovary appears to offer a 

 highly effective barrier against tuberculous invasion, with 

 the important difference that in the ovary there occur in- 

 tervals (ovulation) when the tunic is ruptured and its con- 

 tinuity temporarily in abeyance. Viewed in this light, more 



Fig. 100— Tuberculosis of Ovary and Oviduct. 



I, Section through oviduct ; 2, oviduct thrown into coils by elongation ; 



3, ovary showing a corpus luteum, CI, and a tubercular mass, 



Tb, in crater of a ruptured ovisac. 



ovarian than orchitic tuberculosis might be expected. Ap- 

 parently this is true. Nevertheless, the ovary is highly re- 

 sistant to the infection, as compared with other portions of 

 the female genitalia. Frequently the uterus and oviducts 

 are highly tuberculous, while the ovary remains normal. In 

 the second example of ovarian tuberculosis in my collection, 

 shown in Fig. 101, the ovaries and oviducts have largely 

 undergone tuberculous necrosis. Generally, when the ovi- 

 ducts are involved, the pavilion is adherent to the ovary, 

 and the peritoneal side of the pavilion is studded over with 



