. Annual of the universal medical sciences. Unruptured. Stationary Tumor with Four Months History. [Medical Press and Circular.) which tubal pregnancy may become abdominal, with developmentto term. There are three points in whicli he found that develop-ment of the foetus may be met with in advanced ectopic gestation:{a) in the broad ligament, beneath tlie peritoneum, extra-perito- Ec^topic TOf DISEASES OF OVARIES AND TUBES. G-49 neally; (b) in the intra-peritoneal sac, probably formed by localdevelopment of the Fallopian tube and broad ligament, in wliichthe whole tumor is no more ex
. Annual of the universal medical sciences. Unruptured. Stationary Tumor with Four Months History. [Medical Press and Circular.) which tubal pregnancy may become abdominal, with developmentto term. There are three points in whicli he found that develop-ment of the foetus may be met with in advanced ectopic gestation:{a) in the broad ligament, beneath tlie peritoneum, extra-perito- Ec^topic TOf DISEASES OF OVARIES AND TUBES. G-49 neally; (b) in the intra-peritoneal sac, probably formed by localdevelopment of the Fallopian tube and broad ligament, in wliichthe whole tumor is no more extra-peritoneal than is the pregnantuterus; (c) within the abdomen itself. In these cases the childis closely surrounded by omentum, and the placenta has attach-ments which are probably subperitoneal and tubal; but not allthe pregnancies are originally tubal. Barber ^If reports a case of adherent rupture of extra-uterinepregnancy in which the abdomen was opened and the sac wasfound to consist of the right ovary, which was of the size of a. Fig. 3.—Tubal Pkegnancy of Four Months Growth, Invading Both Broad Ligaments and Peeitoneal Cavity. (Medical Il-esfi and Circular.) hens e^^. The operation was hastily done, the condition of thepatient being exceedingly bad, and she subsequently recovered. Gusserow, of Berlin,„^^i8 says that rupture may take placefrom purely mechanical causes, by steady increase in size of theovum without corresponding growth in the tube, or from a growthof the chorionic villi througli the walls of the tubes, forming sieve-like perforations. The blood can be poured into the abdominalcavity and become encapsulated. It may take place between thelayers of the broad ligament, producing hsematoma of the broadligament. In otiier cases luematoma occurs before rupture of tlu;tube, and in others the tube does not rupture, but, owing to its ^ G-50 MONTGOMERY. [oesS, contractions, the ovum is discharged into the ahdominal has heen very well called tubal a
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