Lectures on ectopic pregnancy and pelvic haematocele . m but no distinct tumour could be feltabove, and I agreed with INIr. Hallwright as to the nature of thelesion. This gentleman made the bold suggestion that I shouldopen the abdomen and remove the ruptured tube. The suggestionstaggered me, and I am ashamed to have to say I did not receive 20 ILLUSTRATIVE CASES. it favourably. I saw the patient again in consultation withMr. Hall Wright and Dr. James Johnson and again I declined toact upon Mr. Hallwrights request, and a further hemorrhagekilled the patient. A post-mortem examination revealed
Lectures on ectopic pregnancy and pelvic haematocele . m but no distinct tumour could be feltabove, and I agreed with INIr. Hallwright as to the nature of thelesion. This gentleman made the bold suggestion that I shouldopen the abdomen and remove the ruptured tube. The suggestionstaggered me, and I am ashamed to have to say I did not receive 20 ILLUSTRATIVE CASES. it favourably. I saw the patient again in consultation withMr. Hall Wright and Dr. James Johnson and again I declined toact upon Mr. Hallwrights request, and a further hemorrhagekilled the patient. A post-mortem examination revealed theperfect accuracy of the diagnosis. I carefully injected thespecimen which was removed, and I found that if I had tiedthe broad ligament and removed the ruptured tube I should havecompletely arrested the ha3morrhage, and I now believe that hadI done this the patients life would have been saved. Theappearances in this case are precisely given in the annexedillustrations from Duguet:— Fatal Case of Fallopian Pregnancy at Eigutu Week (after Duguet).. Fig. 5.—a, Utevus laid open on the anterior surface; B, part of llie lUculua still adherentto the right uterine cornu ; C, decidua, nearly entire, expelled liefore death ; D, right tube andovary, normal; E, E, margins of artificial opening in the left tube ; F, nmliilical cord ; G, placenta ;H, pavilion of the left tube ; /, vascular plexus, ramifying over the tubal covering of cyst,from which the hteinorihage occurs on its rupture ; J, vagina.
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Keywords: ., bookcentury1800, bookdecade1880, bookidlecturesonec, bookyear1888
