The hand in the uterus detected a tumor to the left, which wag
reduced to about one-fourth the former size. In April, 1874, the
woman still suffered pain and tenderness in the tumor. Hodgen
believed this to have been originally a tubal pregnancy, which
burst, causing much hemorrhage and the death of the fetus,
together with a limited peritonitis. Beach has seen a twin
compound pregnancy in which after connection there was a
miscarriage in six weeks, and four years after delivery of an
extrauterine fetus through the abdominal walls. Cooke cites an
example of intrauterine and extrauterine pregnancy progressing
simultaneously to full period of gestation, with resultant death.
Rosset reports the case of a woman of twenty-seven, who
menstruated last in November, 1878, and on August 5, 1879, was
delivered of a well-developed dead female child weighing seven
pounds. The uterine contractions were feeble, and the attached
placenta was removed only with difficulty; there was considerable
hemorrhage. The hemorrhage continued to occur at intervals of two
weeks, and an extrauterine tumor remained. Two weeks later
septicemia supervened and life was despaired of. On the 15th of
October a portion of a fetus of five months' growth in an
advanced stage of decomposition protruded from the vulva.
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