Algora speaks of an abdominal
pregnancy in which there was spontaneous perforation of the
anterior abdominal parietes, followed by death. Bouzal cites an
extraordinary case of ectopic gestation in which there was
natural expulsion of the fetus through abdominal walls, with
subsequent intestinal strangulation. An artificial anus was
established and the mother recovered. Brodie, Dunglison, Erich,
Rodbard, Fox, and Wilson are among others reporting the expulsion
of remnants of ectopic pregnancies through the abdominal
parietes. Campbell quotes the case of a Polish woman, aged
thirty-five, the mother of nine children, most of whom were
stillborn, who conceived for the tenth time, the gestation being
normal up to the lying-in period. She had pains followed by
extraordinary effusion and some blood into the vagina. After
various protracted complaints the abdominal tumor became painful
and inflamed in the umbilical region. A breach in the walls soon
formed, giving exit to purulent matter and all the bones of a
fetus. During this process the patient received no medical
treatment, and frequently no assistance in dressing the opening.
She recovered, but had an artificial anus all her life. Sarah
McKinna was married at sixteen and menstruated for the first time
a month thereafter.
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