REMARKS ON INTRA-PELVIC INFLAMMATION IN THE CHRONIC FORM.

[Presented to the Section on Obstetrics and Diseases of Women.] The terms parametritis and perimetritis are erroneously supposed by many to include the whole subject of intra-pelvic inflammation. These terms are misleading, because as now often used they present to the mind the idea that all cases of inflammation not confined to the uterus must belong to one or the other of these. Actual observation teaches the important fact that perimetritis and parametritis generally exist together, and that they are usually complicated with inflammation of the uterus, and not infrequently the ovaries and fallopian tubes are involved. When we use the terms perimetritis and parametritis, if anything like a definite diagnoisis is made we ought to understand that the greater intensity of lesion is manifested in one of the tissues, but that inflammation extends to the others also. It is apparent, therefore, that to determine the tissue in which the