Gynecological diagnosis and pathology . Theterm pelvic haematoma is applied to a collection of blood between thelayers of the broad ligament, such as occurs in intra-ligamentary rupture. Should the patient survive the rupture and the haemorrhage not result TUBAL (1KSTATION 45 in the death of tin- ovum, the latter goes on growing. The chorionic villi,protruding through the peritoneal surface, uccpiire attachments to thestructures in the neighbourhood, the back of the broad ligament, theuterus, the omentum, or intestines, hi this case the ovum may go ongrowing till full time, or a secondary rupt
Gynecological diagnosis and pathology . Theterm pelvic haematoma is applied to a collection of blood between thelayers of the broad ligament, such as occurs in intra-ligamentary rupture. Should the patient survive the rupture and the haemorrhage not result TUBAL (1KSTATION 45 in the death of tin- ovum, the latter goes on growing. The chorionic villi,protruding through the peritoneal surface, uccpiire attachments to thestructures in the neighbourhood, the back of the broad ligament, theuterus, the omentum, or intestines, hi this case the ovum may go ongrowing till full time, or a secondary rupture with intraperitoneal hemor-rhage may occur before then. Such a pregnancy is described as asecondary abdominal pregnancy . It it goes on to full time the patientmay have a spurious labour; the fcetus inside the abdomen dies andundergoes various changes. It may become calcified, and is then knownas a lithopcedion, which may lie in the abdomen indefinitely. It maybecome converted into adipocere, or the sac may undergo suppuration and. Fig. 145.—Tubal Pregnancy. Section through same tube (Plate V.) at seat of rupture. From this minute rupturethe patient bled to death. Note the chorionic vesicle and villi. the bones of the foetus be discharged through abdominal wall, bladder, orrectum. In the absence of treatment such a patient may die from thechronic suppuration. If the rupture occurs on the under aspect of the tube, haemorrhageoccurs between the layers of the broad ligament. Such a haemorrhage isnever so profuse as an intra-peritoneal one, as the tension inside theligaments prevents any great loss. A haemorrhage of this kind, therefore,rarely in itself causes death. It may be sufficient, however, to cause thedeath of the ovum, and the result is again the formation of a mole. Ifthe ovum goes on growing, the villi acquire attachments to the cellulartissue between the layers of the broad ligament, and the pregnancy isknown as a secondary intradigamentary pregnancy *. After a ti
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
