. Operative gynecology. d lying under the pelvic peritoneum. Not infrequently the pregnancy terminates with the escape and death of theovum, with the extravasation of blood into the peritoneum, and the entire ab-sorption of the abnormalproducts, and the case is in-terpreted by the family phy-sician as simply one ofsevere colic. Tubal Abortion.—When the ovum lies in theampullar end of the tube andbecomes detached early inthe pregnancy, the succes-sive hemorrhages often ac-cumulate around it and takethe shape of the distensibletube (extra - uterine tube -Ruptured Left Extra - uterine Pregnancy w
. Operative gynecology. d lying under the pelvic peritoneum. Not infrequently the pregnancy terminates with the escape and death of theovum, with the extravasation of blood into the peritoneum, and the entire ab-sorption of the abnormalproducts, and the case is in-terpreted by the family phy-sician as simply one ofsevere colic. Tubal Abortion.—When the ovum lies in theampullar end of the tube andbecomes detached early inthe pregnancy, the succes-sive hemorrhages often ac-cumulate around it and takethe shape of the distensibletube (extra - uterine tube -Ruptured Left Extra - uterine Pregnancy with Castj. IJie cast lOrmeCl m Large, Free Intraperitoneal Hemorrhage. ^]-,jg -^^^ SOmewliat the ine rupture IS at the junction of the ampulla and the isthmus; • the rest of the ampulla is dilated and intiltrated down to a narrow appearance of a SaUSage, IS neck iust behind theiimbriated end. Enucleation; saline infusion. i- i • i _c _l o Recovery. Feb. 25, 1S95. Natural size. Cylmdncal, IrOm 2 to 3 CCn-. 440 EXTRA-UTERINE PREGKANCT. timeters in diameter and 5 or 6 centimeters in length, and at the outer endwhich projects from the ampulla it is ragged and broken. These blood casts areoften found in, situ, choking the tube, or lying free in the peritoneal cavityamid a mass of clots; in the latter case they are apt to be broken up in theremoval and so not recognized. In rare instances very little hemorrhage accompanies the tubal abortion, andthe fetus and its membranes may be extruded in toto through the fimbriated ex-tremity. In a specimen ex-hibited by Dr. Edebohls beforethe New York Obstetrical So-ciety the fetus with its mem-branes intact was seen in theprocess of abortion, one halfof the ovum being free in theperitoneal cavity, while theother half was firmly graspedby the dilated conical fimbri-ated end of the tube, like abud in its calyx. The fetus, turned into theperitoneal cavity with a massof clots, by rupture of the sacdies, and the sac becomeswalled ofE by adhesi
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
