This disease is termed salpingitis, and like a bronchitis, it may be acute or chronic. The acute form is not distinguishable from an ordinary peri-uterine inflammation. The chronic form may be recognized. In some cases the diagnosis is limited to certain periods in the history of the case; in other cases the symptoms may be so constant as to render it possible to make the diagnosis with considerable accuracy.
The causes of this disease have frequently been said to be limited to gonorrhœal infection. This is an error. It does arise in strumous women from the constant introduction into the uterus of instruments, whether by reason of the introduction of septic matter, or from mechanical violence, I am not sure. But it is more than probable that it arises from the introduction of septic matter. The entire gynecological practice of some seems to be limited to a single procedure, viz.: