Ectopic pregnancy

Contribution to the Aetiology of Ectopic Pregnancy

“…The title of the case of Dawson 44 1 (1903) speaks for itself: "Case of repeated tuba1 pregnancy diagnosed on each occasion before the end of the first month." Out of Daniel's (1958) 90 ectopic pregnancies 9 produced serious symptoms without any menstrual irregularity, while Jarcho (1949) observed this phenomenon on 47 occasions out of 173, Grier (1937) 24 times out of 100 and Ware and Winn (1946) 48 times out of 115 cases. Felmus and Pedowitz (1953), in their 44 cases of interstitial pregnancy, found 5 where rupture of the Fallopian tube occurred before the patient had missed a period.…”

Differential Diagnosis of Pelvic Appendicitis and Acute Conditions of Uterine Appendages

“…T h e white blood picture is the same in appendicitis as in acute conditions in the genital organs as regards both number of white blood corpuscles and their mutual distribution (FARR & FINDLEY 1929, HELLSTROM 1937, LINTGEN & FRY 1938, TARKIAINEN 1948, JARCHO 1949, GRISE & MORTON 1951 COPE (1920), are topographical and one cannot draw conclusions from them as to the nature of the causal process or its origin. They are positive just as often in acute conditions in the genital organs as in appendicitis (ARNESEN 1931, COPE 1951, THOREK 1955, WILLIAMS 1956.…”

“…Rupture of graafian follicles, follicular and corpus luteum cysts, endometriosis cysts and ectopic pregnancy (SIMON I 928, JOHNSON 1930, ALS-NIELSEN 1931, HOYT & MEIGS 1936, Mc-SWEENEY & MOOD 1940, JARCHO 1949, GRISE & MORTON 1951.…”

“…In ectopic pregnancy and rupture of follicular or corpus luteum cysts the palpation tenderness varies within wide limits. It is usually bilateral but generally it is most intense on the affected side (MCSWEENEY & WOOD 1940, ATLEE 1947, JARCHO 1949, MCSWEENEY & FALLON 1950, GRISE & MORTON 1951. The tenderness varies with the quantity of blood in the pelvis (JOHNSON 1942).…”

Primary Abdominal Pregnancy

“…For many years it was questioned whether such a sequence of events ever took place. Jarcho (1949) quotes Lawson Tait as saying in 1888: "That a fertilized ovum may drop into the cavity of the peritoneum and become developed there, is a contingency I cannot accept for a moment, for the powers of digestion of the peritoneum are so extraordinary that an ovum, even if fertilized, could have no chance of development", and Bland Sutton (1 904) denied that primary abdominal pregnancy ever occurred in women. According to these and other early writers, so-called primary abdominal pregnancy was to be explained by secondary implantation on the peritoneum of an ovum primarily implanted in the tube and then shed into the peritoneal cavity during a tuba1 abortion.…”