Thirty-five consecutive cases of extra-uterine pregnancy dealt with by abdominal section without a death / by James Oliver.

  • Oliver, James.
Date:
1908
Catalogue details

Licence: In copyright

Credit: Thirty-five consecutive cases of extra-uterine pregnancy dealt with by abdominal section without a death / by James Oliver. 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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    Thirty-five Consecutive Cases of Extra- uterine Pregnancy dealt with by Abdominal Section without a Death.1 By JAMES OLIVER, M.D.Edin., F.R.S.Edin., F.L.S. Physician to the Hospital for Women, Soho Square, Londo?i. Extra-uterine gestation is in these days a derange- ment of not infrequent occurrence, yet a'clinical synopsis of thirty-five cases dealt with by abdominal section in the practice of one individual may be of interest, and it may help to dissipate some of the erroneous impressions which exist regarding this remarkable phenomenon—impressions due to conclusions framed and promulgated on insufficient data. The group is a very varied one. It includes six cases in which the foetus had arrived at maturity and had died before delivery was effected, and three in which the operation was performed after the development of the placenta was completed and whilst gestation was actively progressing The majority of the cases, as is natural, were cases in which the embryo had perished at an early stage of its existence in consequence of a more or less extensive extravasation of blood caused by the rupture of one or more of the physiologically enlarging maternal vessels. One only is specified as an undoubted case of ovarian pregnancy, but I am constrained to believe that some of those in which the gestation sac was located in the broad ligament were also cases of ovarian pregnancy, and my reason for expressing this belief is that had they ever been located in the tube internal haemorrhage would have occurred, and, moreover, we occasionally find true ovarian cysts in the mesometrium, and there is no apparent reason