A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
2. _Tubo-abdominal Pregnancy._ This name is applied to those cases where
the ovule having but just entered the tube, is arrested by an
obliteration or constriction of the canal, and there undergoes
development. The placenta is attached in the interior of the tube, and
the fœtus developed in the abdominal cavity, and both are surrounded by
a cyst, the walls of which are partly made up by the walls of the
dilated tube. This includes also what has been described as
_tubo-ovarian_ pregnancy.
3. _Tubal Pregnancy_ is the most frequent of all varieties of
extra-uterine pregnancy. The ovule is here arrested and developed at
some spot within the tube, between its abdominal extremity and the point
where it enters the uterine walls. The fibres of the enormously
distended tube constitute the envelope of the fœtal cyst.
4. _Interstitial Tubo-uterine Pregnancy._ Here the ovule is arrested in
that part of the tube that traverses the thickness of the uterine walls.
It may remain, during its development, enclosed by the tube, or it may
make its way through these and be developed within the muscular fibres
of the womb itself.
5. _Utero-tubal Pregnancy_ is a very rare but possible form of
extra-uterine pregnancy. The ovule may ingraft itself just at the
internal orifice of the canal. “In this variety, the fœtus is found in
the abdominal cavity; the cord leaving the umbilicus enters the
Fallopian tube, traverses its whole length, and is inserted in the
placenta, which is itself attached to the internal surface of the
uterus.” The tube has evidently been ruptured, allowing the passage of
the fœtus into the peritoneum, while the placenta remained in the
uterus.
In all these pregnancies, the ovule has originally its proper membranes,
the chorion and the amnion. The structure of the walls of the enclosing
cyst varies according to the species of extra-uterine pregnancy. As a
general rule, the fœtus exhibits nothing peculiar in its development.
The most common of the numerous alterations which it may undergo, are
putrescent dissolution of its soft parts, and the separation of the
various pieces of its skeleton; a complete drying-up or mummification;
and transformation of all its tissues into an osseous or cretaceous
substance.[39]
In the tissues of the mother, new or increased vascularity of those
parts where the ovule is attached will be noticed, while the womb will
be found to have sympathized with the development of the fœtus by an
hypertrophy of its mucous membrane, which, however, does not last more
than a few months. A gelatinous substance, a kind of thick, ropy mucus,
is also frequently found in the neck of the uterus. These appearances
are generally wanting in the womb, where the pregnancy has advanced
beyond term.
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