Pyosalpinx, or pus in the tube, is the result of an inflammatory action in and about the tube, due to an infection.
The most frequent causes of pyosalpinx are: Abortion or miscarriage, gonorrheal infection, tubercular infection, infection with the Bacillus coli communis, streptococcus or staphylococcus or infection through trauma or extension to tube of an appendicitis.
If the tube is infected from its proximal end, the mucous membrane is congested and distended with blood, thereby encroaching on the lumen of the tube. The infection is then advanced by this condition of affairs to the ampulla and then to the distal end of tube. Each and every extension causes or will cause what is spoken of by the patient as "cramp" or shooting or boring pains in the ovary. This condition is frequently spoken of by the physician as an "ovaritis," and if the patient becomes remonstrative her case
KELLY WD. AN OPERATION FOR PYOSALPINX WITHOUT LIGATURE, CLAMP, ARTERY FORCEPS OR BLEEDING, BY OVERTHROW PROVISIONAL SUTURE METHOD.REPORT OF FIFTY-NINE CASES WITH ONE DEATH. JAMA. 1906;XLVI(14):1013–1017. doi:10.1001/jama.1906.02510410015004
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