Transactions of the American Association of Obstetricians and Gynecologists for the year ... . t difficulty. The patient made asmooth convalescence. Two cases had both been diagnosed,before coming under my observation, as incomplete to a retroflexed uterus held in that position by a gravidadherent tube in one case and to the fact that only an indefinitemass could be made out in the other case, and that while ectopicgestation was suspected, a differential diagnosis could not posi-tively be made, a vaginal celiotomy was done in both these cases. 144 - S A M U E L W. B A N D L E R
Transactions of the American Association of Obstetricians and Gynecologists for the year ... . t difficulty. The patient made asmooth convalescence. Two cases had both been diagnosed,before coming under my observation, as incomplete to a retroflexed uterus held in that position by a gravidadherent tube in one case and to the fact that only an indefinitemass could be made out in the other case, and that while ectopicgestation was suspected, a differential diagnosis could not posi-tively be made, a vaginal celiotomy was done in both these cases. 144 - S A M U E L W. B A N D L E R , The fourth case had a menstrual period fifteen weeks after herlast labor; she then spotted occasionally until three weeks be-fore operation when she had a normal period lasting seven went clean for two days and then began to spot again; hadabdominal cramps eight days ago lasting a day; more crampsfour days ago and again two days ago. There was considerabledistention of the abdomen. This tube at the location of theovum was of a diameter scarcely larger than that of a large Fig. 6.—The two lumena now begin to communicate. The septum is channelled across at one wall. Another case gave a rather typical history but her physicianabsolutely refused to countenance the possibility of an ectopicgestation, and, as stated elsewhere in this paper, I made avaginal incision to prove to him that the diagnosis was all these cases as soon as the vesicouterine fold was reached bythe T-shaped incision a deep bluish discoloration was observedthe same as one sees before opening the abdominal peritoneum,with free blood in the peritoneal cavity. The sixth case was begun vaginally, tube was delivered andcould easily have been removed but a sponge holder was accident-tally opened and a small sponge was left in the culdesac. I wasunable to reach it and therefore closed the vaginal incision andremoved the ectopic gestation as well as the sponge through theabdominal route. I
Size: 2079px × 1202px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bo, bookcentury1900, booksubjectgynecology, booksubjectobstetrics
