A treatise on physiology applied to pathology / By F.J.V. Broussais ... Translated from the French, by John Bell ... and R. La Roche.

  • Broussais, F. J. V. (François Joseph Victor), 1772-1838.
Date:
1826
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on physiology applied to pathology / By F.J.V. Broussais ... Translated from the French, by John Bell ... and R. La Roche. Source: Wellcome Collection.

    530/576 (page 522)
    ritoneal cavity, and extra-uterine prignaricy iu be the conse- quence. A case related in his thesis, by Professor Lallemand, furnishes an example of this kind. A very impassioned woman had com: pelled her husband to gratify her desires in the day time, without even taking the precaution of locking the door. At the moment of the ejaculation a door opens with violence;—this woman feels an extraordinary commotion in her abdomen;—her pregnancy is irregular, attended with many accidents; and death, of which it is not my business to describe the precursory circumstances, affords an opportunity of discovering that the child had been formed in the cavity of the pelvis. Its placenta was adherent thereto; an inflam- matory exsudation, which the author compares to the membrana decidua,* lined the whole of this cavity, and blood-vessels had be- come developed in the part corresponding with the placenta, at least as much as the texture of the peritoneum had allowed. — There are cases in which the placenta has been found attached to the external surface of the uterus, —in others it has been discovered on the intestines,—in others in the Fallopian tube,—in the fimbria- ted'extremity of this latter, or on the ovaria, &c. It is easy to conceive what accidents must result from such’ attachments, and particularly those that would take place on the intestines, or on the stomach if it descended sufficiently low down. | The fact related by M. Lallemand is of a nature calculated to elicit reflections. The moment of surprise and terror, whichthis woman experienced, destroyed suddenly the erection of the tube, and detached the fimbriated extremity from the ovary; this appears to me beyond doubt; but did the ovum fall at the instant in. the cavity of the pelvis, or only a few days later? The first case would suppose that the prolific drop is absorbed by the tube, and produced and expelled slowly its little ovum, and that not finding, at the instant this latter was detached from the ovary, the tube at the proper place for receiving it, it has necessarily fallen into the LE * The cavity of the uterus was lined by a similar production, from which M.