Haemorrhage from the Fallopian tube without evidence of tubal gestation / shown by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
[1898]
Catalogue details

Licence: Public Domain Mark

Credit: Haemorrhage from the Fallopian tube without evidence of tubal gestation / shown 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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    2 HAEMORRHAGE FROM THE FALLOPIAN TUBE normal axis. I would not, under the circumstances, pass a sound. There was much sanious discharge from the os. The pulse was 84, regular and small; the temperature remained normal between November 4th and 13th. The urine, drawn off with the catheter to avoid the blood which constantly oozed from the os uteri, was almost colourless, very acid, sp. gr. 1006, and free from albumen and excess of phosphates. The patient had never been laid up with severe illness, and after the miscarriage in May, 1896, she kept her bed for a fortnight and recovered completely, so that she had evidently not neglected her- self. A week’s rest produced no effect whatever on the local condition. The tenderness was noteworthy, as the sequel showed that the mass was a nerveless structure, so that it was its surroundings that were tender. On November 13th, 1897, I made an exploratory incision, the patient being placed in'. Trendelenburg’s position. 1 saw a mass of small intestine adherent to something to the right of and behind the uterus. On freeing the gut I exposed a reddish-brown solid mass, into which the right Fallopian tube appeared to run. Poste- riorly the mass adhered to the sigmoid flexure and rectum. I passed my hand carefully under the mass, and succeeded in drawing it up with the tube and ovary ; they were then removed together. The left ovary was large and succulent, as usual in a healthy young woman, the left tube quite normal. There was no sign of any effusion of blood into the peritoneal cavity beyond the mass, or into the para- metrium. Convalescence proceeded steadily, and the patient was quite strong when she left the hospital. I sent the right tube and ovary and the attached tumour, now exhibited, to the College of Surgeons'. On cutting open the tumour it appeared to consist of clot. A section was made close to its attachment to the fimbriae of the tube, including tubal tissue. Under the microscope no chorionic villi nor decidual cells could be found. The tumour, as now seen, forms a pyramidal mass with