. Carnegie Institution of Washington publication. Fio. 13.—Outline of tube with ovary attached (No. 772). X \. No. 773. (Dr. Lowsley, New York.) Unruptured tube, 55X20X15 mm. The specimen, without any history, was given me, hardened in formalin. It is spiral-shaped, as the figure shows. Sections were cut from parts of the tube, which were found filled with an organized clot. At some points the strands of "fibrin" seemed to represent a disintegrating ovum. The uterine end of the tube seems quite normal; the fimbriated end is somewhat hyperemic. The intermediate portion of the. FIG. 14


. Carnegie Institution of Washington publication. Fio. 13.—Outline of tube with ovary attached (No. 772). X \. No. 773. (Dr. Lowsley, New York.) Unruptured tube, 55X20X15 mm. The specimen, without any history, was given me, hardened in formalin. It is spiral-shaped, as the figure shows. Sections were cut from parts of the tube, which were found filled with an organized clot. At some points the strands of "fibrin" seemed to represent a disintegrating ovum. The uterine end of the tube seems quite normal; the fimbriated end is somewhat hyperemic. The intermediate portion of the. FIG. 14.—Outline of kinked tube before it was opened (No 773). X £. tube contains a well-organized clot, which is reticulated; in the meshes are fresh hemorrhages. In the middle of each area of fresh blood there is usually a villus, indicating that the fresh blood entered the clot along the hues of the villi. There is quite an extensive leucocytic infiltration around the clot and along the fibrin bands. The clot is attached to the tube wall at one point only in a pocket; the epithelial lining and folds are intact. No. 775. (Dr. Lowsley, New York.) (Plate 10, fig. 1.) Unruptured tubal pregnancy, 70X40X35 nun. The tube is filled with an organized clot, within which lies a collapsed ovum radiating from the center to the periphery of the clot. The walls of the chorion have collapsed to form a plexifrom structure with occasional cavities in the chorion. It is entirely uecrotic. On the periphery is a zone of leucocytes. On one side the tube wall is intact; it is markedly infiltrated and gradually merges on the other side with the clot. No. 777. (Dr. Tobie, Portland, Maine.) Unruptured tubal pregnancy, 75X55X55 mm. From un American woman, 28 years of age, married twice within five years. She was never pregnant before, although her first husband was the father of children by another wife. The first husband probably had gonorrhea. The patient conies from a fertile family. She has been tre


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