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June 26, 1926


Author Affiliations

Wolfeboro, N. H.

JAMA. 1926;86(26):1979. doi:10.1001/jama.1926.26720520001006

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This case is reported because of two unusual features: the simultaneous occurrence of pregnancy in the two fallopian tubes, and rupture of both tubes with a considerable interval separating the two accidents.

H. U., an unmarried woman, aged 41, was taken suddenly ill, June 26, with severe cutting pain in the right lower quadrant of the abdomen, with faintness and nausea. The pain occurred while lifting a heavy chair. The physician who was called did little, evidently, beyond giving a hypodermic injection of a narcotic. The patient stayed in bed for three days and then returned to work. She noticed only some tenderness of the abdomen and general muscular weakness. July 10, a similar seizure occurred with pain in the left lower quadrant of the abdomen, faintness and vomiting. There was a slight vaginal discharge of dark blood. The same physician was consulted, but no treatment was prescribed save rest

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