430 Diseases of the Genital Organs 



be prolonged so that the estrum does not recur for thirty 

 or more days. In some cases the estrum is comparatively 

 regular. The clinical recognition of the cystic corpus lu- 

 teum has already been discussed in dealing with the ovary. 

 When pavilionitis becomes established, with adhesions of 

 the pavilion to the ovary, the diagnosis of salpingitis be- 

 comes positive. So far as known, adhesions of the ovary 

 within the pavilion must be attributed to salpingitis. The 

 clinical recognition of such adhesions is usually simple. The 

 operator should pick up the ovary per rectum and pass the 

 index finger into the ovarian pocket in front of the gland. 

 If any adhesions are present, they are readily detected in 

 the earlier stages as delicate threads which may be torn 

 asunder with slight pressure. The inflammation gradually 

 extends, the adhesive bands grow in volume and number, 

 and, if the disease is very severe, the ovary becomes com- 

 pletely and firmly adherent within the pavilion and within 

 the ovarian pocket, or, bursa. The ovary becomes masked 

 so that it can not be palpated directly, but only through its 

 adherent covering. It is then either very large, owing to 

 cystic degeneration of the corpus luteum, or, if of long 

 standing, is small, hard, sclerotic, and deeply buried in the 

 adhesions, where in some cases it is recognized only with 

 difficulty. The cystic degeneration of the corpus luteum, 

 the erratic estrual cycle, the recognition of the pavilionitis 

 as evidenced by the adhesions, with the persistent sterility, 

 each justifies a diagnosis of salpingitis; when two or more 

 of these are taken collectively, the diagnosis is rendered 

 positive. The diagnosis may be complicated and hampered 

 by the presence of other lesions of a gross character and 

 readily recognizable. 



Salpingitis is frequently associated with cervicitis in a 

 confusing manner. When cervicitis of an intense type is 

 rampant in a herd (I have seen it involve 60 to 75 per cent, 

 of large herds) salpingitis eventually forces the slaughter 

 of a discouraging number of cows after the visible cervicitis 

 has been brought under control. Whether the cervicitis 

 caused the salpingitis or vice versa, or whether the two in- 



