The accompanying illustration
shows the appearance of the arm in situ before extraction of the
fetus and the location of the wound.
Bodinier and Lusk report instances of the delivery of an
extrauterine fetus by the vagina; and Mathieson relates the
history of the delivery of a living ectopic child by the vagina,
with recovery of the mother. Gordon speaks of a curious case in a
negress, six months pregnant, in which an extrauterine fetus
passed down from the posterior culdesac and occluded the uterus.
It was removed through the vagina, and two days later labor-pains
set in, and in two hours she was delivered of a uterine child.
The placenta was left behind and drainage established through the
vagina, and the woman made complete recovery.
Combined Intrauterine and Extrauterine Gestation.--Many
well-authenticated cases of combined pregnancy, in which one of
the products of conception was intrauterine and the other of
extrauterine gestation, have been recorded. Clark and Ramsbotham
report instances of double conception, one fetus being born alive
in the ordinary manner and the other located extrauterine.
Chasser speaks of a case in which there was concurrent pregnancy
in both the uterus and the Fallopian tube.
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