A textbook of obstetrics . llyprofuse outpour of blood. Surprisingly small tubal gestation sacsmay, on rupture, give rise to fatal hemorrhage. The determiningcause of rupture is not always apparent. It may occur while thepatient is lying quietly in bed, but may follow the straining of defe-cation or urination, coitus, a blow upon the abdomen, a gynecolog-ical examination, an operation like curetment, or any suddenphysical effort or mental excitement. The rupture may be due 1 Au^getragene secundare Abdominalschwangerschaft nach Ruptura uteri, imvierten Monat, Leopold, Archiv f. Gyn., lii, 2, 37
A textbook of obstetrics . llyprofuse outpour of blood. Surprisingly small tubal gestation sacsmay, on rupture, give rise to fatal hemorrhage. The determiningcause of rupture is not always apparent. It may occur while thepatient is lying quietly in bed, but may follow the straining of defe-cation or urination, coitus, a blow upon the abdomen, a gynecolog-ical examination, an operation like curetment, or any suddenphysical effort or mental excitement. The rupture may be due 1 Au^getragene secundare Abdominalschwangerschaft nach Ruptura uteri, imvierten Monat, Leopold, Archiv f. Gyn., lii, 2, 370. Fullerton, Annals of(lyn., October, 1S9I. - Burford reports an extraordinary ca>c in which the tube raptured, the fetus wasextruded through the rent, the cord was torn across, and the fetus with the cordattached was found in the abdominal cavity inclosed in an adventitious sac The pla-centa remained in the tube and the rent in the latter, through which the fetuseshad healed. I>rit. Gyn. lour., [892. 268 PREGNANCY,. Fig. 167.— Ruptured tubal pregnancy; sac involving the to contraction of the tube-walls, to menstrual congestion, or tothe steady growth of the tumor. Rupture of the sac or of ablood-vessel in its wall, with profuse hemorrhage, has occurredlong after the destruction of the embryo and cessation of growthin the sac (two years in one case).
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
