. The diagnosis and treatment of diseases of women. Fig. 642. Tubal Pregnancy, with Abortion throughthe abdominal end of the tube, into the peritoneal end of the tube is dilated, but the structures havenot yet been extruded. (Kelly—Operative Gynecology.) Fig. The Clots, Membranes and Embryo, ex-truded into the peritoneal cavity, in the case of TubalAbortion shown in Fig. 646. (Kelly — Operative Gynec-ology.) ally the same symptoms as tubal rupture, though the internal hemorrhage isusually not so severe. A considerable proportion of the cases of supposedtubal rupture are really
. The diagnosis and treatment of diseases of women. Fig. 642. Tubal Pregnancy, with Abortion throughthe abdominal end of the tube, into the peritoneal end of the tube is dilated, but the structures havenot yet been extruded. (Kelly—Operative Gynecology.) Fig. The Clots, Membranes and Embryo, ex-truded into the peritoneal cavity, in the case of TubalAbortion shown in Fig. 646. (Kelly — Operative Gynec-ology.) ally the same symptoms as tubal rupture, though the internal hemorrhage isusually not so severe. A considerable proportion of the cases of supposedtubal rupture are really cases of tubal abortion. After rupture of the tube, the course of the trouble varies much in the differentcases, as follows: a. The intraperitoneal bleeding causes a local plastic peritonitis with resultingadhesions, binding together the adjacent structures. These adhesions tend tolessen the danger temporarily and if the ovum with its membranes is thrown outfrom the tube (by rupture of wall or extrusion through the open end) and dies, itand t
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