Case of tuberian gestation : with rupture of the cyst containing the embryo, and fatal hemorrhage into the peritoneum / by R.M. Glover.

  • Glover, Robert Mortimer, 1816-1859.
Date:
[1842?]
Catalogue details

Licence: Public Domain Mark

Credit: Case of tuberian gestation : with rupture of the cyst containing the embryo, and fatal hemorrhage into the peritoneum / by R.M. Glover. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    wliere the left Fallopian tube joined the uterus; its interior sur- : lace comraunicated with the peritoneum by an irregular shaggy opening, and by adherent clots, which could be pulled from open- i ings resembling those of veins. The uterus and its appendages were carefully secured; but the further inspection of the body was prevented by the impatience of the relations of the deceased I who were present. The uterus and its appendages were examined by me, with :the valuable assistance of Dr Embleton, the lecturer on anatomy in our medical school. • The uterus was somewhat enlarged, and its lips slightly tumc- ffied; and on being opened, was found to be lined by the decidua, ^apparently of very recent formation, to within three or four lines of its orifice. This membrane was red, of a nearly uniform tinge, :soft and spongy, and terminated towards the mouth of the ute- rus by a somewhat elevated margin, which may be described as •composed of strise. The point of the scalpel pushed thi-ough the decidua, and slightly moved, gave the sensation to the hand of a firmly resisting body beneath, at the depth of half a line or less. Air could be injected from the right Fallopian tube into the uterus, but not from that of the left side, nor from the uterus into the cyst already alluded to. The left Fallopian tube was clearly connected with this cyst, although impervious about four lines !above it. The cyst has been already sufficiently described. The left ovary was much shrunk, and a hydatid was observed lattached to it. On its outer surface was a recent cicatrix, in 'which a minute dark clot could be observed. Near this, on sec- tion, two corpora lutea could be observed. The ovarian extre- !raity of the left Fallopian tube was very open, and beautifully i fimbriated. The right ovary, laid open, showed two coi'pora lutea, and sevc- ■ral Graafian vesicles. A cell was observable in the neck of the luterus. Notwithstanding that the embryo was not found in this ■case, being probably in the huge clot described, there cannot be a !doubt entertained I think of the nature of the case; and this 'being granted, the chief remarkable circumstance with regard to it is the early period of gestation at which rupture of the sac took place. In general, rupture of the sac in cases of tubarian pregnancy takes place towards the third month. This is the statement of Baudelocque, ^ and is corroborated by a case related by an old ithority, De Graaf, ^ and by a very modern one, Dr Fairbairn, 10 nan-ator of a very recent case of the kind. ^ From the size ^' Art (les Accoucliements, t. 2, p. 460,-52, fourth edition. See his explanation of the Tabula Vigcsinia Prima, in the work Dc Mulierum Orgftiiis. * MoTOiLr Journal op Med. Science for 1042, p. 1.07.