The site of the conception is generally the wall of the uterus,
the Fallopian tube, or the ovary, although there are instances of
pregnancy in the vagina, as for example when there is scirrhus of
the uterus; and again, cases supposed to be only extrauterine
have been instances simply of double uterus, with single or
concurrent pregnancy. Ross speaks of a woman of thirty-three who
had been married fourteen years, had borne six children, and who
on July 16, 1870, miscarried with twins of about five months'
development. After a week she declared that she was still
pregnant with another child, but as the physician had placed his
hand in the uterine cavity after the abortion, he knew the fetus
must be elsewhere or that no pregnancy existed. We can readily
see how this condition might lead to a diagnosis of extrauterine
pregnancy, but as the patient insisted on a thorough examination,
the doctor found by the stethoscope the presence of a beating
fetal heart, and by vaginal examination a double uterus. On
introducing a sound into the new aperture he discovered that it
opened into another cavity; but as the woman was pregnant in
this, he proceeded no further. On October 31st she was delivered
of a female child of full growth.
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