Haematoma and haematocele : a study of two cases of early tubal pregnancy / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
1904
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Licence: In copyright

Credit: Haematoma and haematocele : a study of two cases of early tubal pregnancy / by Alban Doran. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    but the patient’s sufferings must have been largely due to the tension of the capsule of peritoneum, a necessary re- sult of the renewed haemorrhage. Had a foetus escaped through a rent in the capsule, instead of a clot, then granting that the patient and foetus had survived, a tubo-abdominal pregnancy of the fourth class according to Taylor (Zoc. cit., p. 58) would have developod. Earlier writers believed that most Fig. 2, Case 2.—The dotted line shows the pelvic peritoneum completely displaced upwards by the clot, (a) Dilated right Fallopian tube which had ruptured into the parametrium; (6) site of secondary rupture into peritoneal cavity. abdominal pregnancies were established in that manner, which implied that abdominal was secondary to tubo- ligamentary pregnancy (loc. cit., pp. 47, 48). The cause of the renewed haemorrhage in Case 2 was not clear. Most probably it was due to straining at stool. There were no solid motions in the intestinal canal at the time, but on the contrary, looseness of the bowels following free purgation by sulphate of magnesia,