British Gynaecological Journal (Volume 21) (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated.1906 Excerpt: ... Repeated Pregnancy In The Same Tube; Twins. Michin Charcow (Monats. Gcb. Gyn., Bd. xxii., S. 455), reports a case in which an extrauterine pregnancy was removed by opening the gestation sac from the posterior vaginal vault. A year later a pregnancy in the same tube with two embryos was removed by laparotomy. The case offers a reason for operating radically in every instance of ectopic gestation. Twin Pregnancy, Intrauterine And Extrauterine. v. NeUGEBAUEr, Warsaw (Zentralb. f. Gyn., 1905, No. 46), has found 155 cases of twin pregnancy with heterotopic intrauterine and extrauterine ova already published. In twelve instances the final result is not stated; 96 of the women recovered; 47 out of 142 died, a mortality of 30 per cent. He has had two cases under his own observation. The first, a quartipara, aged 24, collapsed suddenly in the second month of gestation and died a few hours afterwards under symptoms of internal bleeding. Section disclosed one ovum in the uterus, rupture of the right pregnant tube, and two corpera lutea of equal size in the left ovary. The pregnancy in the right tube was therefore consequent upon external transmigration of the ovum. No pathological factors for the tubal pregnancy could be found. He supposes that both ova were fertilised at the same time or at an interval of only a few days or weeks. The second case was that of a primipara, aged 22, who aborted in the second month. She recovered after the use of the curette, but eight days later she collapsed and laparotomy disclosed a tubal pregnancy terminated by abortion. Recovery. Contemporaneous Extrauterine And Intrauterine Pregnancy. Weibel, Vienna (Monats. f. Geb. u. Gyn., Bd. xxii., S. 739), reports a case in which the diagnosis was established by the presence of placental tiss...