A case of tuboabdominal pregnancy secondary to an incomplete tubal abortion / by B.S. Talmey.

  • Talmey, Bernard Simon, 1862-1926.
Date:
1906
Catalogue details

Licence: In copyright

Credit: A case of tuboabdominal pregnancy secondary to an incomplete tubal abortion / by B.S. Talmey. 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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    peritonaeum. After having separated without difficulty the attachments between the placenta and the bowels I removed the tube and the ovary on the left side, packed the Douglas sac with iodoform gauze, and drained through the posterior fornix of the vagina. The patient made an uneventful recovery and was able to leave the hospital after three weeks. Epicrisis.—The interesting feature in this case is the change of an original tubai gestation into the tuboab- dominal pregnancy through an incomplete tubal abor- tion. The original tubal gestation of two months’ duration was interrupted by the incomplete abortion which was the cause of the first attack. The part of the ovum remaining within the tube continued to grow for about four weeks after the abortion, the extruding part becoming implanted on the bowels. The evading villi crept out and gained visceral attachments without ever losing their hold on the tube. Hence at no time was the ovum cut off from its nutritive supply. The original tubal gestation thus turned into a tuboabdominal preg- nancy. The second crisis occurred through the rupture of the amniotic sac four weeks later, the foetus probably escaping through the rent in the amnion. 62 West One Hundred and Twenty-sixth Street.