ABSTRACT

Many of the diseases of the Fallopian tubes are related to the pathology of pregnancy and are not considered in this work.

In the majority of cases, no cause of salpingitis is demonstrable but in a minority, infection follows abortion or delivery. Pathogenic bacteria reach the Fallopian tubes via the uterine cavity or, occasionally, by the bloodstream.The causative organisms are those of the intestinal tract, including Escherichia coli, Bacterioides fragilis, Enterococcus faecalis and Pseudomonas aeruginosa. Salpingitis is now seldom a direct result of gonococcal infection but the frequency of disease attributable to Mycoplasma and Chlamydia is increasing. ● Acute.The tubes appear red, swollen and oedema-

tous and a purulent exudate escapes from the fimbrial ostia. Occlusion of the ostia leads to pyosalpinx. In this condition, the tubes remain distended with pus.