Clinical Memoirs On the Diseases of Women volume 1

Cover Clinical Memoirs On the Diseases of Women volume 1
Clinical Memoirs On the Diseases of Women volume 1
Gustave Louis Richard Bernutz
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" M. Le Chaptois, relying on the integrity of the abdominal vessels, on the form and situation of the clots, on the symptoms which had existed for some time previous to the acute attack of pain, thought that the haemor- rhage resulted from simple exhalation, and that the surface of the me- sentery was the seat of that exhalation. The predisposing cause he believed to be the amenorrhcea, which would produce engorgement of the mesenteric vessels, and the determining cause was the position and eff...orts of the patient at the moment of the attack. " • A. Tardieu. Zoc. Cit. , et I'hese de M. Vomn, p. 43.
n 2 180 PERI-UTERINE HEMATOCELE justified the idea that the effusion of blood was the result of an exhalation from the internal surface of the pelvic peritoneum, I should sajj on the contrary, that the metrorrhagic flux which coexisted in these cases with the intra-peritoneal effusion, clearly indicates that the internal sexual hsemorrhage came from some point of the inter-tubar canal. These cases, some of which will be related further on in describing the fifth variety, cannot be ascribed to hsemorrhagic pelvi-peritonitis, and I only mention them that I may not be accused of omitting facts to which others attach great importance, and of unreasonably rejecting what I have not seen.


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