Clinical illustrations of the diseases of the fallopian tubes and of tubal gestation : a series of drawings with descriptive text and histories of the cases / by Charles J. Cullingworth.

  • Cullingworth, Charles J. (Charles James), 1841-1908.
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Clinical illustrations of the diseases of the fallopian tubes and of tubal gestation : a series of drawings with descriptive text and histories of the cases / by Charles J. Cullingworth. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    sufficiently patulous, the mole itself is occasionally dislodged from the tube and escapes into the peri- toneal cavity. This occurrence has been termed tubal abortion. It is illustrated in Plate xi. Fig. 3. The clot, which is shown in section, had escaped from the tube and was found lying loosely attached to its fimbriae. On laying the clot open, a three weeks' embryo was found in its interior. The head was accidentally separated in making the section, and could not afterwards be found, but otherwise the embryo was complete. Plate xi. Fig. 1 shows an unusual condition, in which a clot had formed in a pouch of the Fallopian tube, the aperture of communication between the pouch and the lumen of the tube having subsequently become closed. Though no chorionic villi or other products of conception could be demon- strated, the clinical history left little doubt as to the clot having originated in a tubal mole. When apoplexy of the ovum, or, in other words, a tubal mole, is formed at a later stage of the pregnancy, and the abdominal ostium has become closed, the tube becomes greatly distended, and usually under- goes rupture. Plate xi. Fig. 2 shows a tube thus distended. The diagnosis was made in this case and the tube removed before rupture had occurred, but it was evident from the condition of the walls of the tube that rupture was imminent. Indeed, the limbs of the foetus had already become extruded through the thin covering, though fortunately without any accompanying haemorrhage. It will be seen on