A textbook of obstetrics . rvation. Hematoceles and hematomata in the abdomen, pelvis, and pelvicconnective tissue in one-third or more of the cases are due to thehemorrhage from a ruptured gestation sac. The blood maycollect in front of the uterus (ante-uterine hematocele), more 1 Lusk has collected three such cases. The fetus survived the rupture of thetube, or the extrusion mav have been gradual by a separation of the fibers in the tube wall. IS 74 PREGNANCY. commonly behind the uterus (retro-uterine hematocele), may beencapsulated in the neighborhood of either broad ligament, ormay be cont
A textbook of obstetrics . rvation. Hematoceles and hematomata in the abdomen, pelvis, and pelvicconnective tissue in one-third or more of the cases are due to thehemorrhage from a ruptured gestation sac. The blood maycollect in front of the uterus (ante-uterine hematocele), more 1 Lusk has collected three such cases. The fetus survived the rupture of thetube, or the extrusion mav have been gradual by a separation of the fibers in the tube wall. IS 74 PREGNANCY. commonly behind the uterus (retro-uterine hematocele), may beencapsulated in the neighborhood of either broad ligament, ormay be contained in the pelvic connective tissue on either sideo\ the uterus. These accumulations of blood may suppurate, andmay thus prove fatal. They maybe evacuated through the abdo-men or often through the vaginal vault. If not too large, theyare absorbed. Symptoms of Extrauterine Gestation.—The SubjectiveSigns.—In the early weeks or months the subjective signs ofectopic pregnancy may be indistinguishable from those of normal. Fig. 17<S. — Diagram of intraperitoneal rupture of tubal pregnancy. Free bloodin Douglas cul-de-sac, and among the intestines: S, Symphysis; K, rectum(Dickinson). intra-uterine gestation. In the tubal variety, which is by far thecommonest, there may be no indication of any abnormalityuntil rupture occurs. In the vast majority of eases, however,rupture is preceded by severe crampdikc pains, usually in oneor the other iliae region, often accompanied or followed by thedischarge of deciduous membrane. The pain of extra-uterine pregnancy is its most distinctivesymptom. It may be defined as a pain described by the patientin strongest terms ; occurring in paroxysms, with intervals freefrom suffering ; appearing at any time from a tew days to months EXTRA-l rTERINE PRE GN< INCY. -75 after a normal menstruation ; situated often in one groin, thoughfrequently indefinitely referred to the lower abdomen ; extendingdown one leg or up to the epigastrium ; and a pa
Size: 1636px × 1527px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
