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This case of tubal pregnancy is worthy of record on several accounts: First, because of its early rupture, being but about four weeks advanced in pregnancy; second, because of recovery from such a dangerous state of collapse as occurred during the operation; and third, on account of the severe complication—left lobar pneumonia—which set in on the second day after the operation, and would seem to have barred what little chance of recovery was still left to the patient.
Mrs. M. L. J., American, age 30, married seven years, mother of two children, never had a miscarriage, abortion or any serious sickness before this, but was delicate in childhood. Began to menstruate at 15 years of age and first suffered severe pain with her periods at 17, which continued until after the birth of her first child, when the pain lessened in duration and severity, lasting only during the first day,
COWLES JE. AN UNUSUAL CASE OF RUPTURED TUBAL PREGNANCY; OPERATION AND RECOVERY. JAMA. 1898;XXXI(12):641–643. doi:10.1001/jama.1898.92450120015002f
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