A Case of Intestinal Obstruction Caused by Extra-Uterine Pregnancy

By S. R. GORE, l.m. & s. Honorary Surgeon, The Hubli Co-operative Hospital Society, Hubli G. D., aged 28, was admitted to the Co-operative Hospital, Hubli, in the afternoon of 29th January, 1935, for intestinal obstruction. Her condition was grave; thready rapid pulse, cold perspiration, anxious look, frequent vomiting of large quantities of liquid faecal matter, and distended abdomen were the marked symptoms. Patient was given an enema before admission but as it had no effect she was brought to hospital. On examination the lower portion of the abdomen up to the umbilicus was dull to percussion and there was tympanites above. There was a bloody discharge from the vagina. CThe patient was examined about ten days previously in the outpatient department for pain in the abdomen, amenorrhoea of three months' duration and tumour. She gave a history of irregular and profuse menstruation for a couple of months previous to the amenorrhoea and the tumour was noticed during this period. It was a right-sided tumour, its feel was irregular and hard and it seemed fixed. She had had no children before this. She was examined per vaginam by my colleague, Miss Engineer, who reported that the os uteri was soft and the breasts