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Report of Two Cases in Which Autopsies Were Performed

Yoshiaki Tsukada, MD

JAMA. 1968;204(4):331-332.

Abstract
Rupture of a tube in ectopic pregnancy was associated with the wearing of an intrauterine contraceptive device (IUD) in two women. Both patients died from hemorrhage. Difficulty in clinical diagnosis appeared to be related to the presence of the IUD. The device probably prevents endometrial implantation and, less effectively, tubal implantation of the fertilized ovum. Consequently, the rate of tubal pregnancy is relatively increased. Possible ectopic pregnancy should be considered in the differential diagnosis of an acute abdomen in a woman using an IUD.

Author Affiliations
From the Department of Pathology, Atomic Bomb Casualty Commission, Nagasaki. Japan. Dr. Tsukada is now at the Department of Neuropathology, Montefiore Hospital and Medical Center, Bronx, NY.

Footnotes
Reprint requests to Editorial Office, Atomic Bomb Casualty Commission, Hijiyama Park, Hiroshima, Japan.

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