Abstract
Since methods for successful cultivation of tubercle bacilli from genital organs were established more than a dozen years ago (Shinoda & Iwabuchi5), 1941; Furuhashis6), 1947; Halbrecht7), 1947; Yamaguchi8), 1952), studies on genital tuberculosis have been encouraged and minute schedules of classification of tuberculous findings based on HSG have been undertaken by Shinoda & Takahashi2) (1943), Kika, Yamaguchi, et al.9-12) (1951) in Japan and noteworthy reports on the subjects have appeared in Europe too, of Magnusson14) (1945, 1947), Rozin3) (1952, 1954), Ekengren & Rydén4) (1952) and some others15)16)17).
On the correlation, however, between the different types of tuberculous HSG shadows, their combination and the relation of the findings to discharge of tubercle bacilli we have no report available to date. We have once discussed the pathological pictures and development of genital tuberculosis classifying the cases with the disease into three groups with consideration to the results of cultivation of tubercle bacilli and endometrial biopsy (Kika, Yamaguchi, et al.9), 1952) and in the present paper, have described the existence of Type A and B among the representative types of tubal findings on HSG, discovered in our closer examination of the HSG of tuberculous cases. From considerations on some relavant findings, we are led to conclude that the Type A findings are younger than the Type B findings and it seems the former develops eventually into the latter. The fundamental type of uterine findings was inferred to consist in the tiny serrations in the uterine walls, which first arise in the fundus near the uterine cornu and gradually spread all over the uterine wall.
These has been no report on the development of genital tuberculosis studied from the angle of HSG findings, except that by Ekengren & Ryden4) (1950) on the progress of tubal tuberculosis. Their results are in rather good agreement with the ours, but we must state with regret that they failed to study the subject from the bacteriological angle and to review the results in comprehensive discussion with the uterine and the pelvic roentgenographic findings. Our study, we hope, my serve in supplementing some of the shortcomings of their studies.
