. Operative gynecology. The strong adhesions holding it in place and its position are well shown. The patient was a coloredwoman forty-five years old who had had her last child when thirty-eight; four years before entering theclinic she became pregnant, with all the usual signs, and was taken witii perfectly normal labor pains at theexpected time. Dr. Barnum, who saw her two months later, recognized an abdominal pregnancy. The mindof the patient was unbalanced, and she would not allow any interference until after four years had by Dr. Clark. Recovery. B. H., Aug. 14, 1896. abd
. Operative gynecology. The strong adhesions holding it in place and its position are well shown. The patient was a coloredwoman forty-five years old who had had her last child when thirty-eight; four years before entering theclinic she became pregnant, with all the usual signs, and was taken witii perfectly normal labor pains at theexpected time. Dr. Barnum, who saw her two months later, recognized an abdominal pregnancy. The mindof the patient was unbalanced, and she would not allow any interference until after four years had by Dr. Clark. Recovery. B. H., Aug. 14, 1896. abdomen Ity the drainage-tube openings. It is far safer to tnist the large adher-ent area and numerous bits of tied-off tissues with their ligatures to the closedcavity than to run the slightest risk of infection from without where there is somuch dead Via. 532.—LiTiioiEDioN hemoved kkom the Abuominai. Foiu Yeaks aftee a False Labok. Tlie placental aitachment is in the right uterine tube. The fetus has been freed from the envelopingadhesions and lifted out of tlie abdomen. Note the posture and the peculiar membrane covering all thefeatures and inequalities of the body. There is a deposit of calcareous salts in the envelope and in the skin;the rest of the skin is leathery and converted into adipoeerc. TEEATilENT OF ADVANCED EXTRA-UTERINE PREGKANCT. 461 A typical case illustrating the difficulties of an extra-uterine pregnancywith a dead fetus advanced beyond term is that of A. L. (No. 191), operated onMay 6, 1890. The patient was a negress twenty-eight years old, pregnant for the first years before her pregnancy she had had a severe pelvic peritonitis. Itwas impossible to fix the exact date of her pregnancy, which must have beenabout four months advanced at the end of May, 1889, when her menses cameon profusely and laste
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