Identifier: diagnosisofdise00find (find matches)
Title: The diagnosis of diseases of women
Year: 1905 (1900s)
Authors: Findley Palmer. (from old catalog)
Subjects:
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
kes place not later than the four-teenth week. The escape of the foetus and blood may be gradualor abrupt. So gradual may the process be that no general disturb-ance will be caused, and, on the other hand, the foetus and bloodmay be discharged in such a manner as to occasion profound shock.As the gestation sac enlarges the layers of the broad ligament are THE DIAGNOSIS OF ECTOPIC PREGNANCY 151 separated, the pelvic viscera are pushed to one side, the peritoneumis stripped from the bladder, uterus, rectum, and pelvic wall.Later, as the gestation sac increases in size, it burrows beneath theparietal and visceral peritoneum, crowding the viscera forwardand to the side. The placenta may remain attached to the tube or escape with thefoetus between the layers of the broad ligament and become attachedto any of the raw surfaces. The tube may be stretched out overthe gestation sac as a mere ridge. Rupture into the peritonealcavity may take place at any time after the escape of the ovum Fig. 43
Text Appearing After Image:
Left Fallopian tube with ectopic gestation in diverticulum, a, a, gestation sac communicating with diverticulum. (Jewett.) and blood between the layers of the broad ligament. The dangerto life in such an event is imminent, and immediate surgical inter-ference is imperative. Gestation Comes to an End. 1. By the Formation of a Hema-toma. The accumulated blood destroys the life of the foetus.Rupture of the tube has been known to occur after the death ofthe foetus (Braun-Fernwald). The growth of the placenta subse-quent to the death of the foetus is the probable cause. The lowerthe attachment of the placenta the greater the hemorrhage, andhence the greater liability of destroying the life of the foetus. Theblood undermines the peritoneum, sometimes encircling the uterus 152 SPECIAL DIAGNOSIS and rectum, and displacing the viscera. Coagulation of the bloodis rapid, and eventually complete absorption of the clots or theorganization of the clots into adhesions follows. 2. By Suppuration. Thi

Note About Images