Biomedical subjects
Publications and source records attributed to H W Frankenberg.
Report on a cervical pregnancy in the 25th week of gestation in a secondgravida aged 23 years. There was a severe and unstaunchable bleeding after fetal expulsion and the trial of separation of placenta. The uterus had to be removed. The correct diagnosis was possible only by laparotomy. Definition, pathogenesis, difficulties in differential diagnosis and therapy are reported.
The article reports on the case of a 39-year old primipara with severe idiopathic thrombocytopenic purpura (ITP). The patient, who did not respond to corticosteroids, gave birth to a healthy child after thrombocyte substitution, parturition being effected by means of Caesarean section. The article discusses pathogenesis, prognosis and the therapeutic aspects of corticosteroid treatment, platelet substitution, splenectomy and mode of delivery.
The cases of a female patient with placenta increta and of another patient with placenta percreta and rupture of the uterus are presented. Both women were 41 years old, multiparae and had a history of multiple abortions as well as a Caesarean section. In both cases a Caesarean section, followed by a hysterectomy and supracervical amputation of the uterus respectively was done. Frequency, clinical aspects, histology and aetiology of the above described disorders of placentation are discussed.