Lectures on ectopic pregnancy and pelvic haematocele / by Lawson Tait, F.R.C.S., Edin., & Eng., LL.D.
- Lawson Tait
- Date:
- 1888
Licence: Public Domain Mark
Credit: Lectures on ectopic pregnancy and pelvic haematocele / by Lawson Tait, F.R.C.S., Edin., & Eng., LL.D. Source: Wellcome Collection.
Provider: This material has been provided by University of Bristol Library. The original may be consulted at University of Bristol Library.
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![Two of these cases require further details for special reasons, the first (number 13), as strangely enough she fell a victim to a second calamity of the same kind, and the whole of her history is as follows:— On May 10th, 1885, Mrs. E. R., aged 25, was sent to me by Mr. W. r. AVhitcoml)e, Victoria Eoad, Aston, suffering from urgent abdominal symptoms. The history was to the effect that slie had been ailing from a short time before Christmas. She thought it was pregnancy. Menstruation had been suspended for three months. In April she had a period, and again early in May, and at the latter time she complained of violent pains in the lower abdomen, and on the 9th she had an attack of fainting witli vomiting, the pain being referred to the lower abdomen. When I saw her she looked extremely ill and antemic. A large ill-defined mass existed on the right side of the uterus intimately associated with the organ, and the roof of the pelvis was fixed. There was no difficulty in diagnosing the case to be one of ruptured tubal pregnancy, I opened the abdomen on tlie 11th, and found the belly full of blood-clots and bloody serum. I removed the right Fallopian tube, which was occupied by a pregnancy of about the third month, and in its walls a large rent had occurred, through which the foetus and placenta were partly protruding. Some points of bleeding from the intestine recpiired touching with perchloiide of iron, I inserted a drainage-tube, and the patient made an easy and rapid recovery. The case is published in a short paj^er on Ptuptured Tubal Pregnancy, in the British Medical Journal of December 19th, 1885. About eighteen months after this operation, she was confined of a child, at the full term, being attended by a midwife, and there was nothing remarkable about the labour. About fifteen months after this confinement she ao-ain became pregnant, and her husband states that during the period of this pregnancy (which she thought had turned four months), she had no symptoms of note, but only complained at intervals of slight pain in the abdomen, but not sufficiently severe to induce her to call in medical assistance. The only point on which he lays any stress was that she stated that she felt the child very plainly, more so it seemed to her, than at the same period in any previous pregnancy, Mr. Whitcombe was sent for to see her in the forenoon of ]\Iarch 9tli, but he being from home, the patient was seen by his assistant shortly before 1 o'clock on that day. She was lying fully dressed on the bed, her knees drawn up, and was complaining of great pain in the liypogastrium. She was extremely pale and almost pulseless, and had had some vomiting. Mr. Hall was informed that only half an hour before she had l^een cleaning her fireplace, and, in the act of stooping, was seized with acute pain and a](https://iiif.wellcomecollection.org/image/b21448048_0050.jp2/full/800%2C/0/default.jpg)
