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• W2071200102 abstract "Mrs. Z. M., aged 36, patient of Dr. L. E. Frankenthal, entered the hospital April 25, 1925, complaining of severe pain in the lower abdomen which was bearing down and drawing in character, and of vaginal bleeding. Since the latter part of February she had been suffering from morning sickness. A month later, having previously been pronounced as pregnant, pain developed in the abdomen which radiated to the back. This was so severe that it was impossible to take a deep breath or to move, and lasted three or four days. During this attack she did not vomit or feel nauseated. She had a desire to urinate, but could not. One week prior to her entrance to the hospital, while about to go to bed, she was suddenly seized with excruciating pain in the right side and across the abdomen, rendering her unable to move because of prostration. This attack was unaccompanied by fainting or dizziness. There had been one normal pregnancy fifteen months previous to her admission; otherwise the past and family histories were irrelevant. Physical examination revealed a well nourished white female who did not appear to be acutely ill. There was a decided fullness of the abdomen up to the level of the umbilicus, and dullness on percussion, more marked in the midline. The abdomen was soft, but tender. Vaginal examination disclosed a large soft tender mass to the right of the fundus. The uterus itself was enlarged to twice normal size and pushed to the left. There was a moderate bloody discharge. The temperature was 99.8° F., pulse 140, respirations 26. The blood count showed red blood cells 2,980,000, W. B. C. 20,000, with 74 per cent neutrophiles. The urine was negative and the blood pressure was systolic 110, diastolic 65. The films of the abdomen disclosed the presence of fetal structures, the entire skeleton being clearly visible (Fig. 1). Instead of being located, however, in the pelvis as is usual in a fetus of this age—approximately four and one-half months—it lay almost in the right iliac fossa, extending above the iliac crest. The head and neck appeared sharply flexed upon the spine, the appearance causing one to be strongly suspicious of skeletal collapse. From its size and location it appeared to be an abdominal pregnancy. Both the antero-posterior and postero-anterior films disclosed the fetal structure. On opening the peritoneum the patient immediately went into shock. An almost black amniotic sac was seen lying free in the abdominal cavity. This was ruptured, and a macerated and partly desiccated fetus measuring 26 cm. in length extracted. The placenta was adherent to the right border of the urinary bladder, anterior and right lateral walls of the pelvis, and right broad ligament. The right tube and ovary were embedded in a mass of placental tissue. The former, on microscopic examination, showed no abnormalities or evidence of pregnancy reaction." @default.
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• W2071200102 date "1926-07-01" @default.
• W2071200102 modified "2023-09-25" @default.
• W2071200102 title "A Case of Abdominal Pregnancy" @default.
• W2071200102 doi "https://doi.org/10.1148/7.1.65" @default.
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