File:The diagnosis of diseases of women (1905) (14763252525).jpg

Identifier: diagnosisofdise00find (find matches)
Title: The diagnosis of diseases of women
Year: 1905 (1900s)
Authors: Findley Palmer. (from old catalog)
Subjects:
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Freund have reported cases.It is unusual for acute peritonitis to follow the development of ahsematocele, though it is the rule for peritoneal adhesions to formabout the mass of escaped blood. Gestation May Be Destroyed. 1. By the Event of TubalAbortion. By tubal abortion is meant the escape of the ovumthrough the fimbriated end of the tube into the peritoneal cavity.This implies that the tube must be patent at its fimbriated end.According to Dobberts, tubal abortion is three to four times asfrequent as rupture of the tube. All authorities agree that it ismuch more frequent than rupture of the tube. The contractionsof the tube expel the ovum, forcing it in the direction of least resist-ance. The nearer the attachment of the ovum to the fimbriated THE DIAGNOSIS OF ECTOPIC PREGNANCY 155 end of the tube, the greater the habihty to abortion. Hemorrhageis rarely considerable. The author removed two gallons of bloodfrom the peritoneal cavity as the result of tubal abortion. All that Fig. 47
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Intrialigamentary rupture of a tubal pregnancy. Rupture at the isthmus, with escape of the foetus. has been said of tuboabdominal gestation in reference to the fateof the mother and ovum applies to tubal abortion, though withless force. The hemorrhage is rarely so great and the foetus isusually absorbed. Hence the mother may and indeed often doessuffer but httle (Fig. 46). 2. By the Formation of a Mole. The foetus dies and ispreserved in its entirety, forming a fleshy mole. The death of theovum is caused by an escape of blood into the fetal membranes.At first the mass appears like a fresh, firm, blood clot. Later itorganizes and becomes paler as the blood absorbs and organizes. 156 SPECIAL DIAGNOSIS 3. By the Formation of an Abscess. Secondary infection ofthe ovum and escaped blood, as a rule, occurs through the bowel.In this manner a pyosalpinx may be formed, leaving no trace ofpregnancy. 4. By the formation of an adipocere, a lithop^dion orMUMMY, where the foetus is far advanced in

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