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Primary ovarian pregnancy
SRLECTED
Zuckermann, cheer.
C. :
11:
Uterine 307-312, 1943.
Myoma
445
ABSTRACTS
and
Pregnancy,
Rev.
mex.
de
cir.,
ginec.
y
The author describes a primipara, 28, in whom pregnancy occurred despite the presence of a large myoma between the cervix and body of the uterus. A living child that weighed 3 kg. was delivered by ccsarean section, since the large tumor prevented a natural delivery. Suppurative and gangrenous metritis and an intraperitoneal abscess developed, which, with the large tumor, necessitated subtotal hysterectomy. Appendectomy also was performed, since the appendix was adherent to the uterus. The patient recovered satisfactorily. The wound was closed with drainage after extirpation of all the lesions and local application of 6 Gm. of sulfathiazole intraperitoneally. .T. P. GREENHILL.
Eckerson,
E.
B.:
Primary
Ovarian
Pregnancy,
Am. J. Surg.
54:
487,
1941.
In 339 cases of eetopic pregnancy seen at the St. Luke’s Hospital, New Pork City, during the past 40 years, there was only one case of primary ovarian pregnancy, an incidence of 0.2 per cent. The case is here presented. It occurred in a 38.year-old gravida i, para 0, whose previous pregnancy terminated in miscarriage 20 years before. There was no skipped period since her ls.st menstruation The clinical picture was had taken place 2 weeks before the onset of symptoms. that of a ruptured Graafian follicle with intra-abdominal hemorrhage. At operation, the tube was uninvolved and the ovary was the site of what appeared to be a ruptured follicle bleeding actively. A salpingo-oophorectomp was performed. Pathologically, the tube was normal, and the ovary showed the ovarian pregnancy which satisfied the requirements as postulated by Spiegelberg and by Williams and Norris. No corpus luteum was found in either ovary. FRANK SPIELMAN.
Da Costa, L. A. Correa: 438-441,
Myomectomy
and Pregnancy,
An.
brasil.
de ginec.
16:
1943.
The author reports a case of myomectomy during the fifth month of pregnancy, The incidence of this association is followed by spontaneous delivery at term. variously given as from 0.03 to 0.7 per cent, but among 1,661 maternity cases the author observed 25 of myoma, or 1.5 per cent, possibly because 58.8 per cent of the patients were colored or mulattoes. Of the 25 cases, 13 were diagnosed only during the puerporium, 6 during labor and 6 during pregnancy. Five were operated upon: one each for hemorrhage of the pedicle, pains and coexistence of ovarian cyst, obstruction of the pelvic canal and lack of space. The patient with obstruction of the pelvic canal had a Porro operation; the other interventions were simple myomcctomies during pregnancy. There was no interruption of pregnancy or any serious complication during labor or the puerperium. The author’s opinion favors the view that present obstetric resources allow an expectant attitude toward these cases. Surgical intervention is imperative when complications arise, such as necrobiosis, torsion, hemorrhage, compression, uterine incarceration, etc., or when there is lack of space as with large myomas. In these cases, the operation should always be myomectomy when possible. Hysterectomy is reserved for infected cases, those in which myomectomy is technically impossible, or in which the uterine cavity or the membranes have been accidentally opened. J. P. GREENHILL.
Zuckermann, cheer.
C. :
11:
Uterine 307-312, 1943.
Myoma
445
ABSTRACTS
and
Pregnancy,
Rev.
mex.
de
cir.,
ginec.
y
The author describes a primipara, 28, in whom pregnancy occurred despite the presence of a large myoma between the cervix and body of the uterus. A living child that weighed 3 kg. was delivered by ccsarean section, since the large tumor prevented a natural delivery. Suppurative and gangrenous metritis and an intraperitoneal abscess developed, which, with the large tumor, necessitated subtotal hysterectomy. Appendectomy also was performed, since the appendix was adherent to the uterus. The patient recovered satisfactorily. The wound was closed with drainage after extirpation of all the lesions and local application of 6 Gm. of sulfathiazole intraperitoneally. .T. P. GREENHILL.
Eckerson,
E.
B.:
Primary
Ovarian
Pregnancy,
Am. J. Surg.
54:
487,
1941.
In 339 cases of eetopic pregnancy seen at the St. Luke’s Hospital, New Pork City, during the past 40 years, there was only one case of primary ovarian pregnancy, an incidence of 0.2 per cent. The case is here presented. It occurred in a 38.year-old gravida i, para 0, whose previous pregnancy terminated in miscarriage 20 years before. There was no skipped period since her ls.st menstruation The clinical picture was had taken place 2 weeks before the onset of symptoms. that of a ruptured Graafian follicle with intra-abdominal hemorrhage. At operation, the tube was uninvolved and the ovary was the site of what appeared to be a ruptured follicle bleeding actively. A salpingo-oophorectomp was performed. Pathologically, the tube was normal, and the ovary showed the ovarian pregnancy which satisfied the requirements as postulated by Spiegelberg and by Williams and Norris. No corpus luteum was found in either ovary. FRANK SPIELMAN.
Da Costa, L. A. Correa: 438-441,
Myomectomy
and Pregnancy,
An.
brasil.
de ginec.
16:
1943.
The author reports a case of myomectomy during the fifth month of pregnancy, The incidence of this association is followed by spontaneous delivery at term. variously given as from 0.03 to 0.7 per cent, but among 1,661 maternity cases the author observed 25 of myoma, or 1.5 per cent, possibly because 58.8 per cent of the patients were colored or mulattoes. Of the 25 cases, 13 were diagnosed only during the puerporium, 6 during labor and 6 during pregnancy. Five were operated upon: one each for hemorrhage of the pedicle, pains and coexistence of ovarian cyst, obstruction of the pelvic canal and lack of space. The patient with obstruction of the pelvic canal had a Porro operation; the other interventions were simple myomcctomies during pregnancy. There was no interruption of pregnancy or any serious complication during labor or the puerperium. The author’s opinion favors the view that present obstetric resources allow an expectant attitude toward these cases. Surgical intervention is imperative when complications arise, such as necrobiosis, torsion, hemorrhage, compression, uterine incarceration, etc., or when there is lack of space as with large myomas. In these cases, the operation should always be myomectomy when possible. Hysterectomy is reserved for infected cases, those in which myomectomy is technically impossible, or in which the uterine cavity or the membranes have been accidentally opened. J. P. GREENHILL.