. Operative gynecology. later. The reason for the thinning out ofthe wall in one direction more than in another hasbeen the subject of much speculation. Christian Fen-ger suggests that when the ovum is lodged near thecenter of the tube surrounded on all sides by its foldsit is less likely to rupture than if it lodges down be-tween two folds close to the tubal wall. Landau foundin his case of extra-uterine pregnancy lodged in a diverticulum of the tube,that the ovum lay immediately beneath the peritoneum, and the rest of themiTSCular wall of the tube was almost unchanged. In a ease of my own of
. Operative gynecology. later. The reason for the thinning out ofthe wall in one direction more than in another hasbeen the subject of much speculation. Christian Fen-ger suggests that when the ovum is lodged near thecenter of the tube surrounded on all sides by its foldsit is less likely to rupture than if it lodges down be-tween two folds close to the tubal wall. Landau foundin his case of extra-uterine pregnancy lodged in a diverticulum of the tube,that the ovum lay immediately beneath the peritoneum, and the rest of themiTSCular wall of the tube was almost unchanged. In a ease of my own of right isthmial pregnancy the patient had not evenmissed a menstrual period when she was suddenly taken with violent pains, in-terpreted as colic from indigestion, and bled to death in two days from a littlemass not larger than a bean, about 1x2 centimeters in size, ruptured on thedorsal surface. After the rapture of the tube the fetus may escape into the ab-dominal cavity and continue to develop. The usual course, how-. 1 Fig. 521.—Fetus and Umbil-ical Cord found lyingAMONG Clots in Abdomi-nal Cavity. January27, 1896. Natural Size. CLINICAL HISTORY. 439
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
