UTERUS. 115 
Chronic endometritis. 
Croupous endometritis. 
Tubercular endometritis. 
Syphilitic endometritis. 
Acute metritis. 
Chronic metritis. 
Peri-metritis. 
Para-metritis. 
Describe acute catarrhal endometritis. 
The mucous membrane is swollen, hyperaemic and may be the seat 
of small hemorrhages. The corium may be infiltrated with small 
round cells and the epithelium desquamated. The surface of the 
mucous membrane may be covered with muco-pus. In the more severe 
cases the entire mucous membrane may be exfoliated and the body 
of the uterus be swollen and hyperemic. 
Causes: Exposure during menstruation, acute infectious diseases, 
gonorrhceal infection. 
Describe chronic endometritis. 
The changes in the mild cases may be very slight and resemble those of 
the acute variety. In the more severe cases there is a marked increase 
of connective tissue in the mucous membrane, which may present a 
roughened surfave or have polypoid growths upon it. Sometimes the 
mucous membrane is covered with a layer of vascular tissue covering in 
many of the uterine glands. Ulceration of the mucous membrane may 
occur, especially at the cervix, and lead to cicatricial contraction. 
Describe the remaining forms of endometritis. 
They all present the same changes microscopically as the same forms 
of inflammation elsewhere. 
What is metritis ? 
It is an inflammation of the body of the uterus, and may be acute or 
chronic. In the acute form the uterus is swollen, congested and soft. 
There may be a formation of abscesses from a suppurative inflammation, 
In the chronic cases the organ may be congested and soft or it may be 
hard, on account of the formation of new connective tissue. 
What is a peri-metritis ? 
It is an exudative inflammation attacking the peritoneal coat of the 
uterus. There may be a production of pus, and adhesions may be 
formed. 
