During childhood, the ovaries present a perfectly smooth surface, and
their structure appears to be homogeneous, consisting of a dense cellular
tissue. About the seventh year, the first traces of the Graafian vesicles
make their appearance; as the period of puberty approaches, the whole
gland enlarges, becomes softer and more vascular; the Graafian vesicles
are more numerous, and generally one or two will be found larger and more
prominent than the rest. After repeated impregnations, and especially
towards that time of life when the catamenia are about to disappear, the
ovary becomes more or less flabby and corrugated, and at a still more
advanced age presents a shrivelled appearance.
The ovaries are liable to inflammation and its consequences, more
especially abscess, general enlargement, and induration: the malignant
changes of structure, viz. cephaloma, hæmatoma, and cancer, rarely have
their origin in the ovaries, but extend to these organs from the adjacent
parts. Lipomatous or fatty tumours are occasionally met with, containing
hair, rudiments of teeth, &c. Cysts not unfrequently occur in the ovaries,
and attain a very considerable size; they are simple or compound,
sometimes consisting of several cysts one within the other, and distended
with fluids, which vary considerably in their character. These tumours
come under the general head of OVARIAN DROPSY. The ovaries are also liable
to many remarkable morbid changes in the puerperal state, such as
softening and complete disorganization, the natural structure of the organ
being entirely broken down and converted into a bloody pulpy mass; in some
cases the whole gland is apparently dissolved away, so as scarcely to
leave a trace of its previous existence.
_Fallopian tubes._ The Fallopian tubes, which act as excretory ducts to
the ovaries, take their course through the upper portion of the broad
ligaments, running from without inwards, towards the superior margin of
the uterus, the ovaries being situated behind and somewhat above them.
They are somewhat contorted, and are considerably more dilated at their
abdominal extremity where they are unattached, than where they are
connected to the uterus, being as much as from three to four lines at the
former point; whereas, at the latter, they are not more than half a line.
Their abdominal extremity, which is like the mouth of a funnel, has its
edge strongly fimbriated, and has hence been called the _morsus diaboli_.
Their other extremity opens into the cavity of the uterus at the angle
which the fundus forms with its sides, and the whole of the tube is about
five inches.
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