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Mammography
1064
AMERICAN
JOURKAL
OP
OBRTXTRIW
ASD
GYNECOL,OGT
Sortnal appearing appendix smaller piece of cystic ovary ib also submitt.cil. 6 cm. long. Microscopic: The hemorrhagic mass from the o\-ary consists of old The section indicates that the blood clot is blood clot adjacent to ovarian tissue. adherent to the ovary rather than having originated within the organ. Numerous amorphous, blue staining masses have the appearance of necrotic chorionic villi. but no decidual cells are recognizable. lk~~nosis: Suggests octopic pregnancy. ” Following this report further sections were studied and in one a villus was found that seemed to he atta&ed to ovarian stroma (see Fig. I).
Fig. l.-Photomicrograph Shadows of degenerating villi part of the ovarian mass.
showing villus apparently attached to ovarian stroma. were found in the blood clot that mat11~ u&j a considerable
Our final diagnosis in this case was ovarian pregnancy with death of the embryo and beginning absorption of the products of conception. Whet.her this was a primary or a secondary ovarian pregnancy cannot be determined. It is possible that this patient had a tubal abortion at the time of her abdominal distress on the night of June I, the early fertilized ovum becoming attached to the ovary at the site of rupture of the follicle from which the egg escaped. The two positive Friedman tests, on June 13 and July 24, indicate that embryonic development must have continued for at least two mont.hs. Death of the embryo may have resulted from an inadequate blood supply. Our findings at the time of operation suggest a gradual absorption of the products of conception and if the operation had been delayed several weeks longer, it is possible that no evidence of the pregnancy would have been found. The findings in this case suggest that an ovarian pregnancy may be missed very easily. Fortunately this patient became pregnant, again early in .Julv, 19.79, and she apparently has a normal intrauterine pregnancy.
Nogues, 1939.
A. E., and
Gaezotti,
C. IL.:
Mammography,
Rev.
mbd.
latino-am.
24:
999,
The technique and difficulties of mammography are described by Nogues and Gazzotti. They used colloidal thorium dioxide. No unfavorable reactions were traceable to the injections. Mammography has an important place in the diagnosis of intracanalicular tumors as well as being of localizing value for any processes involving the ducts. It is an important adjunct test in paraductal tumors. It should be used routinely in all cases of abnormal nipple secretions not amenable to usual treatment. An excellent series of radiographs is presented. R. J. WEISSMAN.
AMERICAN
JOURKAL
OP
OBRTXTRIW
ASD
GYNECOL,OGT
Sortnal appearing appendix smaller piece of cystic ovary ib also submitt.cil. 6 cm. long. Microscopic: The hemorrhagic mass from the o\-ary consists of old The section indicates that the blood clot is blood clot adjacent to ovarian tissue. adherent to the ovary rather than having originated within the organ. Numerous amorphous, blue staining masses have the appearance of necrotic chorionic villi. but no decidual cells are recognizable. lk~~nosis: Suggests octopic pregnancy. ” Following this report further sections were studied and in one a villus was found that seemed to he atta&ed to ovarian stroma (see Fig. I).
Fig. l.-Photomicrograph Shadows of degenerating villi part of the ovarian mass.
showing villus apparently attached to ovarian stroma. were found in the blood clot that mat11~ u&j a considerable
Our final diagnosis in this case was ovarian pregnancy with death of the embryo and beginning absorption of the products of conception. Whet.her this was a primary or a secondary ovarian pregnancy cannot be determined. It is possible that this patient had a tubal abortion at the time of her abdominal distress on the night of June I, the early fertilized ovum becoming attached to the ovary at the site of rupture of the follicle from which the egg escaped. The two positive Friedman tests, on June 13 and July 24, indicate that embryonic development must have continued for at least two mont.hs. Death of the embryo may have resulted from an inadequate blood supply. Our findings at the time of operation suggest a gradual absorption of the products of conception and if the operation had been delayed several weeks longer, it is possible that no evidence of the pregnancy would have been found. The findings in this case suggest that an ovarian pregnancy may be missed very easily. Fortunately this patient became pregnant, again early in .Julv, 19.79, and she apparently has a normal intrauterine pregnancy.
Nogues, 1939.
A. E., and
Gaezotti,
C. IL.:
Mammography,
Rev.
mbd.
latino-am.
24:
999,
The technique and difficulties of mammography are described by Nogues and Gazzotti. They used colloidal thorium dioxide. No unfavorable reactions were traceable to the injections. Mammography has an important place in the diagnosis of intracanalicular tumors as well as being of localizing value for any processes involving the ducts. It is an important adjunct test in paraductal tumors. It should be used routinely in all cases of abnormal nipple secretions not amenable to usual treatment. An excellent series of radiographs is presented. R. J. WEISSMAN.