The last miscarriage
in this manner was of eight months' growth and was accompanied by
its placenta. The older observers thought this woman must have
had two orifices to her womb, one of which had some connection
with the stomach, as they had records of the dissection of a
female in whom was found a conformation similar to this.
Discharge of the fetal bones or even the whole of an extrauterine
fetus by the rectum is not uncommon. There are two early cases
mentioned in which the bones of a fetus were discharged at stool,
causing intense pain. Armstrong describes an anomalous case of
pregnancy in a syphilitic patient who discharged fetal bones by
the rectum. Bubendorf reports the spontaneous elimination of a
fetal skeleton by the rectum after five years of retention, with
recovery of the patient. Butcher speaks of delivery through the
rectum at the fourth month, with recovery. Depaul mentions a
similar expulsion after a pregnancy of about two months and a
half. Jackson reports the dissection of an extrauterine sac which
communicated freely with the large intestine. Peck has an example
of spontaneous delivery of an extrauterine fetus by the rectum,
with recovery of the mother. Skippon, in the early part of the
last century, reports the discharge of the bones of a fetus
through an "imposthume" in the groin.
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