Identifier: diseasesofwomenc00herm (find matches)
Title: Diseases of women. A clinical guide to their diagnosis and treatment
Year: 1899 (1890s)
Authors: Herman, G. Ernest (George Ernest), 1849-1914
Subjects: Women
Publisher: New York, W. Wood & Co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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ure of theuterus during pregnancy, before labour, is rare. Sometimesthe rupture takes place because the pregnancy is inter-stitial ; that is, in the part of the Fallopian tube whichtraverses the uterine Avail (Figs. 98, 99, 100). But rupture ofthe uterus in apparently normal pregnancy may take place.Robert Barnes* quotes five instances of this. Three of theseI cannot find in the volumes to which Barnes refers. In one t Obstetric Operations. f Mitchell, Obst. Trans., 1870. GREAT INTERNAL HEMORRHAGE. 299 the patient was in labour, and version had been performed.The remaining case * seems genuine. It is said thatthe uterus did not at any part bear the least appearanceof thinning or disease; the rent was across the fundus;the pregnancy had advanced to the fourth month. Thiscase, if correctly reported, establishes the possibility of spon-taneous rupture of the uterus during pregnancy. Pregnancy in a rudimentary uterine cornu.—Pregnancymay take place in the imperfectly developed horn of a
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Fig. 100.—Case of interstitial pregnancy. (Dor bicorned uterus. The horn may consist of an imperfectlydeveloped uterine body, the cervix being represented only bya bundle of fibrous tissue (Fig. 101). Such a pregnancy isclinically the same thing as a tubal pregnancy: it ends inearly rupture into the peritoneal cavity. It can only be dis-tinguished from tubal pregnancy by looking for the insertionof the round ligament. In this condition the round ligamentis inserted outside the pregnancy ; in tubal pregnancy insideit. The pregnancy is in the uterus, but not in the normalplace ; it is not extra-uterine, but it is ectopic. Treatment of great intra-peritoneal bleeding.—Fromthe foregoing account of the causes of great haemorrhage * McKinley, Glasgow Med, Journal, vol. ix. p. 324. 300 DISEASES OF WOMEN. into the peritoneum in women, it will be seen that in allof them the treatment is to open the belly, find the causeof the haemorrhage, and deal with it in such a manner as tomake the pat

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