Gynecology . tum, the small intestine, the vermiform appendix, on the mucousmembrane of the tube even in intra-uterine pregnancy, in the cervix and vagina, in polyps, adeno-metritic foci, proliferating scars, and on adhesive bands, and very rarely on the peritoneum of thetube. According to Meyer, it is not a physiologic condition. The chief factor in its causation isprobably a preceding inflammation. (Moraller, abstract from R. Meyer.) 446 GYNECOLOGY after complete abortion of uterine pregnancy. The separation of the deciduais the result during the subinvolution period of venous extravasation
Gynecology . tum, the small intestine, the vermiform appendix, on the mucousmembrane of the tube even in intra-uterine pregnancy, in the cervix and vagina, in polyps, adeno-metritic foci, proliferating scars, and on adhesive bands, and very rarely on the peritoneum of thetube. According to Meyer, it is not a physiologic condition. The chief factor in its causation isprobably a preceding inflammation. (Moraller, abstract from R. Meyer.) 446 GYNECOLOGY after complete abortion of uterine pregnancy. The separation of the deciduais the result during the subinvolution period of venous extravasation of bloodbetween the inner and outer layers of the endometrium by which the outercompact layer is expelled. Symptoms.—There are, as a rule, no subjective symptoms in ectopic preg-nancy until there is rupture of the surrounding envelope. The patient usuallypasses her regular time of menstruation and often considers herself the typical case the first symptom is a sharp lancinating pain in the side,. Fig. 192.—Decidua in power. In the upper right part of the drawing can be seen the swollen stroma cells of avillus of the tube which have taken on the characteristics of decidua cells. In the upper left is achorionic villus. In the lower right is a blood-vessel. Blood-corpuscles are seen lying in the tis-sue. (From a case of tubal pregnancy.) which may be so severe as to cause the patient to fall. Pallor, small rapid pulse,and air-hunger follow, and, if the rupture is through the outer capsule into theabdominal cavity, or if there is abundant hemorrhage from the ostium of thetube, the patient may bleed to death in a short time. Catastrophies of this kindare, however, comparatively uncommon. In the majority of cases the patientsurvives the first attack, which may be so mild as to cause little often describe the attack afterward as a fainting spell. If the firsthemorrhage is survived the patient continues to have repeated twinges of pain, SP
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