Gynaecology for students and practitioners . ion {see Fig. 240). The cast in this caseis similar to that which is seen in ectopic pregnancy and no traceof an ovum can usually be found. It has been attributed to 488 GYNECOLOGY inflammation of the endometrium preceding, or subsequent to,implantation of the ovum, but in a series of cases investigated by one of us no history of infection wasobtainable, and all evidence of an extra-uterine pregnancy was wanting. (2) Menstrual exfoliation has alreadybeen described (p. 187). (3) Fibrinous casts are occasionallypassed during the course of one of thesp


Gynaecology for students and practitioners . ion {see Fig. 240). The cast in this caseis similar to that which is seen in ectopic pregnancy and no traceof an ovum can usually be found. It has been attributed to 488 GYNECOLOGY inflammation of the endometrium preceding, or subsequent to,implantation of the ovum, but in a series of cases investigated by one of us no history of infection wasobtainable, and all evidence of an extra-uterine pregnancy was wanting. (2) Menstrual exfoliation has alreadybeen described (p. 187). (3) Fibrinous casts are occasionallypassed during the course of one of thespecific exanthems {see Fig. 241) ; they arenot a consequence of pregnancy, and con-tain no recognizable portions of the endome-trium in their wall. They appear to be alocal phenomenon due to a general blood-infection. (4) Blood-casts. These are the rarestof all; an example is shown in Fig. cast forms a complete mould of thecavity of the uterus, from the fundus to the external os ; its lower end consists of a conical portion about an. Fig. 240. Decidual Cast,passed as an foetus had been absorbed. FUNDUS TUBAL ANGLE


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1