A Text-book of Diseases of WomenPenrose, Charles B. (Charles Bingham)
Science
A Text-book of Diseases of Women
Penrose, Charles B. (Charles Bingham)
Women -- Diseases
In the outer portion of the tube the mucous membrane is thrown into
longitudinal folds or plicæ. These folds increase in thickness and in
number as the ostium abdominale is approached. The difference in the
degree of plication at the two ends of the tube is shown by Figs. 142,
143. The folds of mucous membrane project beyond the ostium to form the
fimbriæ. Like the rest of the mucous membrane, the fimbriæ are covered
by columnar ciliated epithelium.
The peritoneal covering does not, as a rule, extend on to the fimbriæ.
It terminates by a sharp line which marks also the termination of the
circular muscular fibers of the middle coat of the tube. The fimbriæ
are subject to great variation in number and in distribution. Sometimes
the Fallopian tube has one or two accessory ostia in the vicinity of
the usual opening. These accessory ostia are situated on the upper
aspect of the tube and are surrounded by more or less luxuriant
fimbriæ. Occasionally a small pedunculated tuft of fimbriæ is found on
the outer portion of the tube (Fig. 144, _B_). In some cases there is
an accessory tubal end supplied with an ostium (Fig. 144, _A_).
[Illustration: FIG. 143.--Section of the normal Fallopian tube near the
abdominal ostium (Beyea).]
[Illustration: FIG. 144.--Fallopian tube and ovary: _A_, accessory
tubal end with an ostium; _B_, pedunculated tuft of fimbriæ.]
[Illustration: FIG. 145.--Fallopian tube, ovary, and parovarium: _a_,
hydatid of Morgagni; _b_, cyst of Kobelt’s tube; _c_, Gärtner’s duct.]
Very often a small pedunculated cyst, about the size of a pea, is found
attached to the fimbriæ or to the outer aspect of the tube.
These cysts are called hydatids, or cysts of Morgagni. They are said to
occur in about 8 per cent. of adults and in 20 per cent. of fetuses.
They are not pathological.
The cyst wall is composed of three coats: an external peritoneal coat;
a middle muscular coat, arranged in two layers; and an inner mucous
coat covered with columnar ciliated epithelium. The cyst contains a
clear watery fluid.
No distinct glands, such as are found in the cervix and the body of the
uterus, have been observed in the Fallopian tubes. The mucous crypts
formed by the folds of the mucous membrane are probably glandular in
character and secrete an albuminous fluid.
INFLAMMATION OF THE FALLOPIAN TUBES, OR SALPINGITIS.
Inflammation is the disease that most usually affects the Fallopian
tubes. The condition is, as a rule, secondary to endometritis, the
mucous membrane of the tubes becoming inflamed by direct extension from
the mucous membrane of the uterus.
The causes of salpingitis are as numerous as those of endometritis. The
most common causes of salpingitis are sepsis and gonorrhea.
Any form of inflammation of the endometrium may extend to the Fallopian
tubes, but the septic and the gonorrheal forms of endometritis are
especially virulent, and it is the rule in these diseases that the
tubes are affected.
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