A textbook of obstetrics . ex-tending up over the fundus and down along the posterior wall to Douglas pouch,involving the peritoneal coat and the muscular tissue, but not the mucous uterus, tilled with water after removal from the body, did not leak. A lar^edose of ergot had been given during labor. Slajmer, Centralblatl f. Gyn., No. l8, 1895. 548 THE PATHOLOGY OF LABOR buttocks, mons Veneris, and abdomen. Septic peritonitis of a viru-lent kind usually develops with great rapidity. In a minority ofcases the site of the rupture is walled off by a rapid outpour oflymph and by agglut
A textbook of obstetrics . ex-tending up over the fundus and down along the posterior wall to Douglas pouch,involving the peritoneal coat and the muscular tissue, but not the mucous uterus, tilled with water after removal from the body, did not leak. A lar^edose of ergot had been given during labor. Slajmer, Centralblatl f. Gyn., No. l8, 1895. 548 THE PATHOLOGY OF LABOR buttocks, mons Veneris, and abdomen. Septic peritonitis of a viru-lent kind usually develops with great rapidity. In a minority ofcases the site of the rupture is walled off by a rapid outpour oflymph and by agglutination of coils of intestines, leaving a compar-atively small cavity to be drained through the tear. This cavitymay secrete ascitic fluid in large quantities for a time, and duringthe womans convalescence there may be a profuse watery dis-charge from the womb. I have seen two such cases. Occasionallya large area of intraperitoneal space is drained through the the fetal body may be encapsulated, and a lithopedion. Fig. 418.—Uterus perforated by the pressure of the promontory : <i, Perforation ;6, laceration of cervix; ctc,c. vaginal tears; </, contraction-ring; <•, posterior lipof cervix (Winckel). may be formed. In the uterine ruptures or perforations dueto pressure necroses the opening is round in shape, regular inoutline, and small in extent. The opening is almost always onthe posterior wall over the promontory of the sacrum. In therare cases of exostoses of the pelvis the bony outgrowth maypinch a hole in the uterine wall. In these cases the openingcorresponds with the site: of the exostosis. Clinical History, Symptoms, and Diagnosis.—Rupture of theuterus usually occurs after labor has Listed a long time, afterrupture of the membranes, and with a well-dilated os. There is LABOR COM PLICA TED BY ACCIDENTS AND DISEASES. 549 usually an obstruction in the labor that should have been recog-nized, the lower uterine segment is enormously distended, and the
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
