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Article
March 17, 1917

A CASE OF MULTIPLE PREGNANCY, RUPTURED TUBAL AND UTERINE

Author Affiliations

Amboy, Ill.

JAMA. 1917;LXVIII(11):843-844. doi:10.1001/jama.1917.04270030175016

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Abstract

Mrs. J. S., aged 42, tertigravida, May 6, 1916, at 4 p. m., while doing housework, was seized with an agonizing pain, referred to the diaphragm. When I saw the patient she was pale and had a pinched facial expression. The pulse was dicrotic; the rate was 160. The temperature was subnormal. At this time I administered ½ grain of morphin hypodermically to relieve the pain. On examination I found the uterus somewhat enlarged, the cervix elongated, the external os patulous. There was a serous bloody discharge. At this examination nothing abnormal was found in the culdesac or abdomen; but two hours later a tumefaction in the culdesac suggested ruptured tubal pregnancy. The patient was moved to the Amboy Hospital, and Dr. Karl F. Snyder of Freeport was called to operate.

The pelvis and culdesac were filled with clotted blood and a fetus; these were removed and the bleeding tube

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