Three cases of early tubal gestation successfully treated by abdominal section : two of the cases after, and one before, rupture of the tube / by Charles J. Cullingworth.

  • Cullingworth, Charles J. (Charles James), 1841-1908.
Date:
[1892?]
Catalogue details

Licence: Public Domain Mark

Credit: Three cases of early tubal gestation successfully treated by abdominal section : two of the cases after, and one before, rupture of the tube / by Charles J. Cullingworth. 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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    care in Adelaide Ward during tlie period they cover, hut they form so distinct and interesting a group that they may, with advantage, be studied by themselves. For the convenience of the reader and to facilitate refer- ence, I have prefixed, as a heading to each case, a short summary of its main features. Case 1. Slight haemorrhage, followed by recurrent attaclcs of pain, in a married woman who, sixteen years after her last child, had missed two menstrual periods j distension of abdomen, with increase of pain and extreme tenderness ; uterus displaced forwards, canal 3^ inches j diagnosis of ruptured tubal gestation; abdominal section : blood in peri- toneal cavity ; ruptured gestation—sac in left Fallopian tube ; foetus in abdominal cavity, attached by umbilical cord to' placenta, which was partially protruded through the rent; right tube occluded and distended with mucus and altered blood; both tubes removed ; peritoneum flushed ; persistent vomiting for four days, latterly stercoraceous; pneumonia seventh day to eleventh ; some suppuration from wound ; recovery. (From notes by Mr. Duke.)—Annie J—, aet. 37, married, an ironer in a laundry, residing in Lambeth, was admitted into Adelaide Ward at noon on the 25th of June, 1890, com- plaining of acute pain in the abdomen, with distension and intense tenderness. Previous history.—The catamenia commenced at thirteen. The patient was married at twenty, and was confined of her first and only child when twenty-one. Labour was natural ; patient was up on the ninth day and at work again in three weeks. Menstruation was re-established in six weeks, and from that time has been accompanied with pain, which, before marriage, it was not. For the last two years the flow has appeared irregularly., the intervals having been sometimes six weeks in length, at other times three months. Eight years ago patient was laid up for fourteen weeks with acute rheumatism; she has never been well since. Present illness.—After having missed two menstrual periods, she had a slight blood-stained discharge for two days, at the end of which time, namely, on the 11th of June, she was suddenly seized with severe pain whilst in the