. Carnegie Institution of Washington publication. 74 ON THE FATE OP THE HUMAN EMBRYO IN TUBAL PREGNANCY. No. 478. (Dr. A. Miller, Portersville, California.) Embryo, CR mm. "Aged 26. Four months ago the patient felt as if something were pressing against the rectum and as if the bowels must move. One month later she had another attack. During the following week there were three such attacks. Then the discomfort changed to pains like labor pains. Such pains have occurred at intervals to date. Patient has had three children, the youngest 2 years old. The baby was nursed 14 months. Menstr
. Carnegie Institution of Washington publication. 74 ON THE FATE OP THE HUMAN EMBRYO IN TUBAL PREGNANCY. No. 478. (Dr. A. Miller, Portersville, California.) Embryo, CR mm. "Aged 26. Four months ago the patient felt as if something were pressing against the rectum and as if the bowels must move. One month later she had another attack. During the following week there were three such attacks. Then the discomfort changed to pains like labor pains. Such pains have occurred at intervals to date. Patient has had three children, the youngest 2 years old. The baby was nursed 14 months. Menstruation occurred every month during lactation and continued regularly for 5 months after, that is, menstruation was regular up to and including June 1909. July was missed. In August, 3 months ago, after going 2 weeks over time, she passed a clot and flowed freely. She menstruated again in Septem- ber. Three weeks ago she had morning sickness for a week. November 27, 1909. Laparotomy. Removal of left extra-uterine ; Tumor mass 85X60X45 mm. Within, a displaced pregnancy with a well-marked amniotic cavity just large enough to hold the embryo. Sections of the wall of the cavity showed villi curiously and evenly embedded in blood with an inactive trophoblast and round-cell infiltration of the mesoderm. It appears as if the embryo had been dead for some time, and although normal in form, does not look natural. The tube wall is markedly infiltrated with leucocytes, that also invade many villi. Irregular masses of trophoblast scattered all through the specimen. Lumen of outer end of the tube is filled with a fibrinous clot which is organizing. No. 479. (Dr. T. Cullen, Baltimore.) Pathological fetus, SO mm. long. Dr. Cullen writes: "A patient of Dr. Jump; came to see me on January 9, 1911. She has had two children, one miscarriage. Her menstrual history began at the usual time and was regular; the flow was free and without pain. She did not miss any period, but since
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