The American text-book of obstetrics for practitioners and students . Fig. 78.—Janiceps. Fig. 79.—Myxoma ofoeck (Longaker). Fig. 80.—Sacral tumor (MutterMil-, College of Physicians . sion or for embryotomy. Craniotomy may be required in monstrousenlargement of the cephalic extremity,as in syncephalus or in diprosopus. De-capitation may be necessary in duplicityof the cephalic extremity, as in dicepha-lus r in thoracopagus. Tn Reinas caseof tricephalus the first head was perfo-rated and then amputated, the second wasperforated, crushed, and amputated, andthe third was amputated. t Diseases and
The American text-book of obstetrics for practitioners and students . Fig. 78.—Janiceps. Fig. 79.—Myxoma ofoeck (Longaker). Fig. 80.—Sacral tumor (MutterMil-, College of Physicians . sion or for embryotomy. Craniotomy may be required in monstrousenlargement of the cephalic extremity,as in syncephalus or in diprosopus. De-capitation may be necessary in duplicityof the cephalic extremity, as in dicepha-lus r in thoracopagus. Tn Reinas caseof tricephalus the first head was perfo-rated and then amputated, the second wasperforated, crushed, and amputated, andthe third was amputated. t Diseases and Death of the Feins.—Alldiseases of the fetus that increase its hulkmay constitute thereby an obstruction inlabor. Cystic tumors, effusions in the se-rous cavities, anasarca, an enlarged liver,polycystic disease of the anddistended bladder from atresia of theurethra f are examples. Liquid accumu-lations should be evacuated by punctureor hv • Pig. 81.—Anasarca. Hydrocephalus | PI. 381 is the most important condition under this head. It *There are two recorded deliveries of thoracopagi by Cesarean section Hirsl and Tiers].Human Monstrosities). t Schwyzer I Arch. f. Gfyn., Bd. 13 I has collected 13 cases of dilatation of the fetal bladder fromatresia of the urethra, stenosis of the urethra, and obstruction of the urethra by :> valve-like forma-tion of mucous membrane. Miiller reports a case ;m<l quotes another Arch,/. Gyn*, Bd. 1~. ELI). 92 AMERICAN TEXT-BOOK OF OBSTETRICS. is not very rare,* is often overlooked, and is a frequent cause of ruptured diagnosis can be made by a vaginal examination, by abdominal palpation,and by a combined examination, or, if necessary, by anesthetizing the woman,introducing the whole hand into the vagina, and thoroughly palpating theenlarged head resting above the pelvic brim. The wide-open fontanelles, thegreat width of the sutures, the fluctuation to be felt perhaps
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