A Short Review of Cases of Extra-uterine Pregnancy admitted to the Gynaecological Department, London Hospital, 1913 to 1920

Gordon Luker
1921 BJOG: an International Journal of Obstetrics and Gynaecology  
Two hundrcd and tifty-three cases o f extra-uterine pregnancy were admitted to the Gynattcological Dcpartment of the T-ondon Hospital during the years 1913--1920, under the care of Dr. Russell Andrew, Mr. Eardley Holland and Mr. Gordon Luker. The age of the youngest patient was 18, and of the oldest 5 2 ; the latter being a case of secondary abdominal pregnancy, with death of the foetus, some years previously. In I@ of these the anatomical and clinical condition was placed in a special class,
more » ... a special class, thus: Acute rupture of the tubs was noted in 68 cases; tubal mole was found in 5 1 cases; tubal abortion occurred in 29 cases. Of the 240 operations performed, 37, or 15 per cent., were special emergency operations in which the condition of the patient demanded immediate interference. The series includes six deaths--three from shock and haemorrhage, one from pulmonary embolus, one from broncho-pneumonia, one from peritonitis. Of the first, one death occurred in a patient who was not operated upon, but collapsed and died suddenly some hours after admission to Hospital with a tentative diagnosis in the receiving room of l r retroverted gravid uterus." Post-mortcm, a large pelvic haematorele was found. Two other deaths from shock and collapse occurred within twelve hours of operation, and raised the question whether it is not advisable to delay operation in some cases in which shock is profound. Rare conditions.-These include one case of old-standing ectopic gestation and three cases of pregnancy in a rudimentary horn. Operation was performed in 240. In a more detailed examination of 42 caseswhich were admitted in the year ~920, the following points have been noted : In 30 per cent. no previous pregnancy had occurred. In those in whom previous pregnancy had occurred the number of children was variable, though rarely more than four. In one patient, however, 10 children
doi:10.1111/j.1471-0528.1921.tb07788.x fatcat:2pebzlbe3feqzazejatgv4fiem