Gynaecology for students and practitioners . blood liesthe ovum in the form of a mole,or the latter may be found stilldetained in the dilated ostiumof the External Capsular Haemorrhage. The second possible endingto a tubal pregnancy is for the capsule to rupture, not into, but out-side, the lumen of the tube. In these cases the muscularis has been sothinned by the eroding action of the trophoblast that the capsularisruptures through the peritoneal coat of the tube, or into the broadligament. This is called external capsular hcemorrhage or tubal process by which this occurs
Gynaecology for students and practitioners . blood liesthe ovum in the form of a mole,or the latter may be found stilldetained in the dilated ostiumof the External Capsular Haemorrhage. The second possible endingto a tubal pregnancy is for the capsule to rupture, not into, but out-side, the lumen of the tube. In these cases the muscularis has been sothinned by the eroding action of the trophoblast that the capsularisruptures through the peritoneal coat of the tube, or into the broadligament. This is called external capsular hcemorrhage or tubal process by which this occurs is just the same as that which occasionsinternal capsular rupture or abortion, but here the eroding action ofthe trophoblast first destroys the muscularis right up to the peri-toneum ; then comes a time when the tube-waU is so eroded that theexternal boundary of the ovum is only composed of trophoblast andfibrinous tissue. When this stage is reached a sudden rent may occurexternally {tubal rupture), and violent hsemorrhage may result. More. Fig. 114. Peritubal Hematocele. ANATOMY OF TUBAL PREGNANCY 207
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
