oa South African Medical Journal - Full-term extra-uterine pregnancy : a case report and a review
A case of full-term extra-uterine pregnancy and a live child, with some unusually interesting features has been descriptionbed. A pathological diagnosis of a near-fatal crisis which occurred at mid-term is considered and a suggestion on the pathogenesis offered, viz. a complicated binovular twin with abortion terminating the intra-uterine gestation, but without tubal abortion having occurred. The diagnosis with its very real difficulties is discussed with regard to:- The history, in which previous sub-fertility and malaise during pregnancy and symptoms of ectopic pregnancy at the second or third month, are all prominent; The clinical signs. of which there are surprisingly few, disproving the fallacious contention that the foetal parts are necessarily readily palpable. The radiological procedures; most important of which is the hysterosalpingogram.
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