A CASE OF ADVANCED PREGNANCY IN THE BROAD 



LIGAMENT ^ 



By POTENCIANO GUA20N 



{From the Department of Surgery, College of Medicine and Surgery, and 

 the Philippine General Hospital, Manila) 



F. G., 38 years old, Filipina, housewife, born and residing in 

 Manila, was admitted to the surgical service of the Philippine 

 General Hospital complaining of enlargement of the abdomen. 

 Her father and mother died of diseases unknown to the patient. 

 Her husband is living and well. The patient denies having had 

 venereal diseases. There was no history of tuberculosis or 

 tumor. 



She had smallpox in childhood. Has occasional headache and 

 fevers of short duration. Other diseases are denied. 



Menses began at the age of 17 years. They have been regular, 

 of about three days' duration, without any accompanying symp- 

 tom till the sixth pregnancy, when she aborted, and afterward 

 her menstruation became scanty in amount, lasting only for one 

 or two days and always accompanied by pain transmitted to the 

 upper region of the abdomen. She denies having any vaginal 

 discharge. 



The patient has had eleven normal deliveries. No history of 

 puerperal infection was elicited. As stated above, she aborted 

 her sixth pregnancy at the third month. At this abortion she 

 had continuous bleeding for two weeks, which was at first profuse 

 and gradually decreased in amount until it disappeared sponta- 

 neously. Her last delivery took place five years ago, being at 

 full term and perfectly normal. Every time she became preg- 

 nant she had severe morning sickness lasting for two or three 

 months. During this time she usually became nauseated and 

 could not eat anything except sour food. 



Five months ago she felt paroxysmal pain in the lower abdo- 

 men, usually at night. Later she noticed a tumor mass growing 

 in the same region, which gradually increased in size and was 

 slightly painful at times. During these months her menses stop- 

 ped entirely, but she did not notice any other symptoms of 



^ Read before the Manila Medical Society, April 3, 1916. 

 148937 — 3 33 



