A System of Practical Surgery, Vol. 2

Excerpt from A System of Practical Surgery, Vol. 2: Surgery of the Neck, Thorax and Spinal Column

The wall of a fistula consists of connective tissue arranged concem trically about the lumen. The vessels running in the wall have either a circular or a radiating arrangement, and in some cases circular or longi tudinal striped muscle-fibres as well as cartilage have been Observed. Usually the fistula is of uniform diameter but there are cases, how ever, as Shown by Ribbert and ~konig, in which several dilatations have given a nodular appearance to the tract. The number Of lumena, as shown by transverse section, may be SO great as to resemble a tubular gland. Branching of the tube is probably due to persistence Of the cleft in more than one place.

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