Tuesday, November 20, 2012

Extra Uterine Pregnancy - Survival

Unknown  /  at  9:33 PM  /  1 comment

In several instances we have found it impossible to differentiate between an adherent myomatous uterus and a tubal pregnancy that has been ruptured for several weeks.

  The ruptured tube is not only enlarged and surrounded by partly organizing clots, but is likewise adherent to the adjacent structures. Where definite multiple myomatous nodules can be felt on the surface of the uterus, 

or where a submucous myoma can be felt or has been passed, the diagnosis of myoma can be made with a fair degree of certainty, but it must be remembered that tubal pregnancy occasionally accompanies a myomatous uterus, as noted on.

 

 

 The cessation of the period for one or two months, followed by con- tinuous bleeding and definite pains on one side of the uterus, is, of course, strong presumptive evidence of tubal pregnancy.

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1 comment:

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