Professor Virchow has applied to it, in the region of the womb or
pelvis, the term _parametric_ tissue, from the Greek prefix _para_,
beside, and the Latin _metra_, the womb, signifying the tissue near and
around the womb, from which the Germans derive _parametritis_, instead
of the English, who employ _pelvic-cellulitis_, each meaning one and
the same thing, namely, inflammation of the cellular or connective
tissue in the pelvis or around the womb.
The female pelvic organs have interspaces between the bladder, vagina
and uterus in front, and the uterus, vagina and rectum behind, also
on both sides, between the womb, ovaries, and the folds of the broad
ligaments, and lastly, between these organs and the walls of the pelvic
cavity are interspaces. These interspaces are filled in or padded out
by loose cellular tissue. M. Nonat, a celebrated French authority, has
described this in a beautiful figure, by saying that “the organs of
reproduction float in an atmosphere of cellular tissue.” This is indeed
so, and a consideration of an inflammatory condition of this structure,
is to conclude the inquiry into the inflammatory diseases peculiar to
women.
Pelvic cellulitis is one of those diseases for the comprehension
of which we are particularly indebted to the researches of modern
pathologists, who have discovered that infectious germs are the cause
of numerous diseases; pelvic cellulitis is one of these, because it
originates as a secondary result of septic absorption.
The bacteria or putrefactive germs belong to Protophytes—the smallest
and simplest of all plants, some of them are so small that it requires
the highest powers of the microscope to make them visible. Their growth
and multiplication have been experimentally demonstrated by artificial
cultivation, and this now constitutes one of the most interesting
studies of modern pathology.
Pasteur, Lister, Nægle and others, regard the decomposition in
the tissues as a direct result of the vegetation of the bacteria.
“Decomposition and fungus are inseparable; the one ceases when the
other is removed. Processes of this nature set up by bacteria are
best distinguished as _fermentations_.” Professor Ziegler, of the
University of Tuebingen, says: “The healthy organism is always beset
with a multitude of _non-infectious bacteria_. They occupy the natural
cavities accessible from without, and especially the alimentary canal.
They feed on the substances lying in their neighborhood, whether
brought into the body or secreted by the tissues. In so doing they
set up chemical changes in these tissues. While the organs are acting
normally, these fungi work no mischief to the tissues in which they
lie, or to the system generally. The products of decomposition set
up by such non-specific micro-organisms are either harmless or are
conveyed out of the body before they begin to be active.