. Diseases of women. A clinical guide to their diagnosis and treatment. oneal cavity, justas in a uterine abortion the ovum is expelled into the vagina(Figs. 102, 103, 104, 105). The presence of the dead ovumirritates the tube just as an aborting ovum or a retainedpiece of chorion irritates the uterus, and makes it the fimbriated end of the tube be open, there may be asteady drip of blood from it into the peritoneum. Thisblood will clot and form a lump. The clot may lie loosein the peritoneum, so that it can be easily scooped up oru 306 DISEASES OF WOMEX. washed away. Or there may be
. Diseases of women. A clinical guide to their diagnosis and treatment. oneal cavity, justas in a uterine abortion the ovum is expelled into the vagina(Figs. 102, 103, 104, 105). The presence of the dead ovumirritates the tube just as an aborting ovum or a retainedpiece of chorion irritates the uterus, and makes it the fimbriated end of the tube be open, there may be asteady drip of blood from it into the peritoneum. Thisblood will clot and form a lump. The clot may lie loosein the peritoneum, so that it can be easily scooped up oru 306 DISEASES OF WOMEX. washed away. Or there may be inflammation of the peri-toneum around it, varying from a little roughness of theserous membrane making the clot adherent, to extensiveadhesions bounding a cavity in which the clot lies. In thelatter case the clot may become surrounded by a wall offibrine, like what, occurring in the uterus, is called afibrinous polypus. In this state it may remain unchangedfor many months.* Kupture of tube goes with greathaemorrhage: tubal mole with slight, f Before abdominal Embryo. Fig. 105.—Tubal mole on section. (Bland Sutton.) section was frequently done, tubal moles were unknown,while ruptured tubes, obtained post mortem, abounded inmuseums. The inference I draw is that tubal abortionoften ends in spontaneous recovery. 3. Disease of the ovary. — Pelvic hematocele maycome from the ovary. In the previous chapter I havedescribed the conditions of the ovary which cause haemor-rhage. There is physiological bleeding, not enough to givetrouble, into the Graafian follicle with ovulation. It hasbeen supposed^ that this physiological congestion may, byaccidental causes acting shortly before the time of ovulation,be so increased, that the bursting of a Graafian follicle willcause bleeding enough to form a hematocele. This istheory: there is no evidence that a healthy ovary everbleeds enough to form a hematocele. There is haemorrhage * See Taylor, Med. Press and Circular, July 18, 1894. t See Cu
Size: 1894px × 1320px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, bookpublishern, booksubjectwomen
