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March 8, 1902


JAMA. 1902;XXXVIII(10):631-633. doi:10.1001/jama.1902.62480100007002

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To those who have looked upon a ruptured tubal pregnancy, I need not attempt to paint in words the picture of this terrible complication. That the surgeon is still so frequently called upon after a tubal pregnancy has ruptured and the patient is exsanguinated, all too forcibly emphasizes the fact that the importance of this subject has not yet been fully grasped by our obstetric teachers. That it is practical to diagnosticate the condition before rupture has been demonstrated so thoroughly that if the medical profession were fully awake to the needs of the hour very few of these cases would ever reach the stage of rupture. In 1892 I made the diagnosis before rupture—which operation verified —of extra-uterine pregnancy, and, since that time, have diagnosed this condition no less than nineteen times before rupture. I have always considered that the diagnosis could be made, and was unaware that it

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