The diseases of women : a handbook for students and practitioners . ed out thatthe lodgement of an oosperm in the outer third of the tubeusually leads to occlusion of the abdominal ostium by theend of the eighth week. So long as this orifice remainsopen the oosperm is in constant jeopardy of being extrudedthrough it into the ccelom (peritoneal cavity), especiallywhen lodged in the ampulla of the tube; the nearer it issituated to the ostium the greater the risk of its ejectionfrom the tube. To this accident the term tubal abortion isapplied, for it is parallel to those early abortions occurring
The diseases of women : a handbook for students and practitioners . ed out thatthe lodgement of an oosperm in the outer third of the tubeusually leads to occlusion of the abdominal ostium by theend of the eighth week. So long as this orifice remainsopen the oosperm is in constant jeopardy of being extrudedthrough it into the ccelom (peritoneal cavity), especiallywhen lodged in the ampulla of the tube; the nearer it issituated to the ostium the greater the risk of its ejectionfrom the tube. To this accident the term tubal abortion isapplied, for it is parallel to those early abortions occurringin uterine gestation before the end of the second month; DISEASES OF THE FALLOPIAN TUBES. 233 and it further resembles them in the fact that the oospermis nearly always converted into a mole. In tubal abortion the mole is occasionally dischargedthrough the ostium into the ccelom (peritoneal cavity) witha copious^hemorrhage, accompanied with the usual signs ofinternal bleeding, and death may occur early from theanaemia thus induced or from shock. In such instances. Fig. 82.—Fallopian tube immediately after complete tubal abortion. The lowerdrawing represents the mole. the mole, being very small, may escape recognition whenthe clot is examined either at operation or post-mortem. The amount of blood discharged into the ccelom underthese conditions sometimes amounts to two, three, or evenfour litres. When the mole is extruded from the tubethrough the unclosed abdominal ostium it is described as complete tubal abortion (Fig. 82); very frequently the 234 DISEASES OF WOMEN. mole is retained in the tube; it is then referred to as in-complete tubal abortion. The retention of the mole leadsto recurrent hemorrhage. The loss of blood in both varie-ties of tubal pregnancy is often so great as to imperil life. Tubal abortion is of great interest, as the bleeding whichaccompanies it was formerly erroneously ascribed to metror-rhagia, reflux of menstrual blood from the uterus, or hem-orrhage
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