Anatomy and treatment of extrauterine pregnancy

The case of an extrauterine pregnancy, which will serve as the subject of this study, seems to be very interesting from some sides.

On the issue of extrauterine pregnancy

(Surgery. 1897. No. I. p. 64).

V.A.Petrov. - A case of hydrosalpingitis simulating an extrauterine pregnancy. (from the Proceedings of the Physico-Medical Society in Saratov, for 1894)

Patient 37 years old. 3 months ago I was healthy from the side of the genitals; appeared to the author with a tumor, equally elastic, oval in shape, mild, 2 fingers not reaching the navel; to the right of the tumor is an unenlarged uterus. The swelling of the breast, producing colostrum, the color of the areola and the mucous membrane of the entrance to the vagina, corresponded to the usual signs of pregnancy.

Dr. Cullingworth. - A case of advanced Extra-Uterine Gestation in wich a living Child was removed, the placenta left, and the Abdominal Wound entirely closed. (British med. Journ., 22 / XII 94, p. 1422). A case of extrauterine pregnancy in 8 months; extraction of a living child by gastrointestinal tract, leaving after and complete closure of the abdominal cavity

A 33-year-old, emaciated worker was sent by one doctor to the hospital with the diagnosis of an extrauterine pregnancy, 25 / ix 93. She had a previous birth 13 years ago, 3 years ago she had a 5 month miscarriage, the last regulations in April 93 she had pains in the abdomen with light bleeding; then she had morning sickness, swelling of her breasts. In August - the second attack of pain, lay for about a week in bed. Cullingworth, denying that she had an extrauterine pregnancy, kept her in the hospital until the pains soothed and for the 18th sent her home. 5 / I 94 she developed pain during labor with vomiting. The uterus was palpated not enlarged, without any discharge from her, a tumor in the abdomen with clear movements and heartbeats of the fetus. 13 / I the patient was again admitted to the hospital.

Ruptured Ectopic Pregnancy with an Intrauterine Device: Case Report and Sonographic Considerations

Introduction: Ectopic pregnancy carries a high morbidity and mortality; patients are at risk for rupture and life-threatening hemorrhage. Case Report: We present a rare case of ruptured abdominal ectopic pregnancy in a patient with a well-positioned intrauterine device (IUD) and discuss the diagnostic utility that transabdominal point-of-care ultrasound (POCUS) can have when performed at the bedside. Conclusion: While pregnancy with an IUD in place is rare, when it is encountered the emergency provider should maintain a high degree of suspicion for extrauterine pregnancy and perform prompt evaluation for hemorrhagic shock using diagnostic POCUS.

A. L. Robinson. A case of twin extra-uterine pregnancy. (N. Y. Med. Journ. Iune 18, 1892). A case of extrauterine pregnancy with twins.

F. K., 27 years old, multipara; last regulations 4 nbr. 1891; She turned to the author in mid-January 1892 with the following complaints: after the flu she had just suffered, which exhausted her extremely, vomiting appeared in the morning, which was a little constant and was not inferior to any drugs. I even had to approach the food per rectum. High weakness and debilitating sleeplessness. In view of this "status praesens" and found by the author in the patient nephritis incipiens, it was necessary to produce an artificial miscarriage. After a few days, a few small blood clots came out, but there was no bleeding.

Clinical materials for the doctrine of tubal pregnancy

Ectopic pregnancy, in which the fetus reaches full development, as with the correct urgent pregnancy, is a relatively rare phenomenon; more often it is encountered that the fetus dies after reaching only more or less significant development; The greatest percentage of non-self-conception falls on those cases when the embryo dies in the very beginning of its life. This form of disease by extrauterine pregnancy, that is, when the egg ceases to exist in the early periods and, therefore, when there is a regressive process, so to speak, an extrauterine incomplete miscarriage, is at the same time the greatest difficulty in the diagnostic relationship. The latter, perhaps, was the reason that in the past this kind of painful process was diagnosed less often than in the present, and comparatively only very recently it attracted due attention of gynecologists and underwent scientific development.

H D. Ingraham. A brief report of three cases of ectopic pregnancy (New-York Medical Journal, 1892, December 31). A brief report on 3 cases of extrauterine pregnancy

In the first case, the patient deliberately concealed the history of her illness, deliberately gave inconsistent data and thereby made it extremely difficult to diagnose. When the rupture of the fetal beetle in the abdominal cavity was clear, the patient resisted any surgical intervention and died. In the second case, the rupture of the fetal baby also occurred in the abdominal cavity, blood poured out, accumulated in the Douglas space, and the evacuation of the blood cyst per vaginam ended in the patient's recovery. In the third, an accidental fetus ruptured in the broad ligament and the egg now died.

To the doctrine of extrauterine pregnancy (fetal attachment to a fibrous tumor)

On February 5 of this year, I was invited by Mr. doctors S.O. Mankovsky and N.A. Skvortsov for advice on one case of extrauterine pregnancy. The day before, that is, on February 4, the patient, the officer's wife, Mrs. X., had internal bleeding, after which she developed acute anemia with loss of pulse and fainting. Thanks to the adopted by Mr. Doctors marry, the patient's pulse appeared and at 3 o'clock in the morning he kept at the known altitude from 120-130 to 1 m. I saw the patient at about 1 pm. She was anemic, the outer covers had a yellowish tint, the visible mucous membrane was almost blessing in color, the pulse was extremely weak filling, about 130 in 1 m. The abdomen was very swollen, painful when touched. With internal examination, the posterior fornix is ​​somewhat tense, the uterus is sluggish, open. From its cavity, blood is exuded in small patches of tissue similar to decidua. The patient in consciousness, complains of a feeling of embarrassment in the chest, nausea and thirst.