Perhaps the most interesting phase of the question presented lies in that portion of the subject which relates to its etiology and diagnosis. To facilitate the consideration of the inquiry it may be well to review carefully the record of the lesions of some of the various pelvic organs, in order to ascertain, if possible, what degree of aptitude or proneness such tissue has for tubercular infiltration. The direct development of tuberculosis in the cervix may be regarded as of uncommon occurrence.
The cervix has, however, been removed in cases in which the disease invading the part was after ward found to have been of a tubercular nature. The involvement of the cervical portion of the uterus or of the vulvo-vaginal introitus might lead to the adoption of the hypothesis that the attack resulted primarily from coitus with the husband, who had been infected with the disease. It is true
CLARKE AP. PELVIC TUBERCULOSIS. JAMA. 1899;XXXII(25):1412–1416. doi:10.1001/jama.1899.92450520007002c
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