. Le diagnostic des maladies des femmes . En tout état de cause, l'hémorragie thermique peut être mortelle. III Grossesse tubaire infundibulaire, dans laquelle l'ovule est trouvé dans l'infundibulum. Il s'agit d'une condition inhabituelle. Le comportement est semblable à celui de la grossesse ampulaire. Le tube adhère probablement aux structures environnantes, et en adhérant à la grossesse ovarienne atubo-ovarienne devient possible. CHANGEMENTS RÉTROGRESSIFS DANS UN FCETUS MORT. La momification est un processus de dessiccation, l'eau extraite du fœtus. En outre, un dépôt de sels terreux issouvent superposé. 2. Calcification, dans laquelle th

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. The diagnosis of diseases of women . In any event, theresulting hemorrhage may be fatal. III. Infundibular tubal pregnancy, in which the ovum is foundin the infundibulum. This is an unusual condition. The behavioris similar to that of ampullar pregnancy. The tube is likely toadhere to surrounding structures, and by adhering to the ovary atubo-ovarian pregnancy becomes possible. RETROGRESSIVE CHANGES IN A DEAD FCETUS. 1. Mummification is a process of desiccation, the water beingextracted from the foetus. In addition a deposit of earthy salts isoften superimposed. 2. Calcification, in which the fetal membranes and placenta andrarely the superficial parts of the foetus are permeated and incrustedwith lime salts. There is rarely formed a dense incrustation. Itis not uncommon for an adhesive peritonitis to be set up about thelithopsedion. The petrified ovum may remain in the tube, in theperitoneal cavity, or between the layers of the broad ligament foryears without creating serious disturbance. Well-formed children PLATE XXL. Secondary Abdominal Pregnancy at Eight Months, Primarily Tubal. The primary attachment of the placenta is plainly discernible at theoriginal tubal site. After rupture the placenta grew and became attached toa large surface on the anterior abdominal wall. The child AA^as deliveredthrough a retrouterine vaginal incision. (Jewett.) THE DIAGNOSIS OF ECTOPIC PREGNANCY I57 may be born while the parent still carries a lithopaidion. Deathmay result from peritonitis. 3. Adipocere formation, in which the ovum is converted intoa soap-like mass. Calcareous deposits may be found in theadipocere. 4. Gangrene of the fcetus may result, and if surgical inter-ference is not instituted death from septic infection and peritonitiswill follow. It is possible for a perfectly healthy and well-formed child to bedelivered by surgical means, but, as a rule, the foetus is poorlydeveloped and not viable. ANATOMICAL CHANGES IN THE TUBE. Mucous Membrane. In the tubal mucosa dec

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