An unusual case of extrauterine pregnancy

136

THE

AMERICAN

JOURNAL

OF

Krause: A Young Ovarian Pregnancy. kologie, 1924, lxxxvii, 390.

OBSTETRICS

AND

Zeitschrift

GYNECOLOGY

fiir Geburtshiilfe

und Gy&-

The author describes in detail and illustrates a young ruptured ovarian pregnancy removed from a thirty-five-year-old woman who had had two children previously. MARGARET

&xr.uLm.

Phaneuf, Louis E.: Intraperitoneal Hemorrhagefrom Ruptured Ovarian Cyst. Journal

of American

Medical

Association,

1924, lxxxiii,

658.

The writer reports three cases of ruptured cysts of the ovary with severe intraperitoneal hemorrhage, two were follicular cysts, one a corpus luteum cyst. In the literature only twenty cases of ruptured follicular cysts and twenty-two cases of ruptdred corpus luteum cysts were found. The diagnosis was in most eases estabblished after opening the peritoneal cavity; usually a preliminary diagnosis of ectopic pregnancy or acute appendicitis had been made. The etiology of the author’s three cases could not be made out, but these hemorrhages occ.ur most likely under the inGROVER LIE%. fluence of traumatism including that of bimanual examination.

Nash: Rupture of Tubouterine C%stationWhich Was Concurrent with Inhauterine aestation. The Lancet, 1924, ccvii, 494. The author had seen three cases of tubouterine.

gestation,.and

report,s here the

third case. The patient was admitted to the hospital and operated upon with recovery. A Jtudy of the specimen reveaIed a swelling at the site of the entrance of the right tube to the uterus, which had ruptured, and from which ehorionic tissue projected. Attached to and overlying this, was a mass of chorionic tissue, the center of which was formed by a cavity, one inch in diameter, lined by a smooth membrane, and revealing what was probably the umbilical cord. The uterus itself measured four inches and contained an embryo about one-half inch in length. The uterine fetus appeared to be about six weeks old. The author speculates on the possibility of the two pregnancies starting at the same date.

NORMANI?. MILISR. Hermans: An UnusualCaseof Extrauterine

Pregnancy.

Nederlandsch

Tijdschrift

voor Geneeskunde, 1924, i, 1410. A woman was brought to the clinic with a history of bleeding for six weeks and having been ill for two months. She looked ill and pale, her temperature was normal, the pulse being 130. The abdomen was somewhat distended and pelvic examination left the diagnosis in doubt between ectopic pregnancy and pelvic inflammation. She gradually developed a high fever with all symptoms of acute peritonitis. Five weeks after admission, she went into collapse, but responded slowly to stimulants and hypodermoclysis. Later on during the drty she developed a bloody diarrhea which lasted for two days, when she passed a fetus per rectum. After a blood transfusion she made a slow but steady recovery. R. E. WOBnS.