Bothwell describes
a twin labor at term, in which one child was living and the other
dead at the fifth month and macerated. Belt reports an analogous
case. Jameson gives the history of an extraordinary case of twins
in which one (dead) child was retained in the womb for forty-nine
weeks, the other having been born alive at the expiration of nine
months. Hamilton describes a case of twins in which one fetus
died from the effects of an injury between the fourth and fifth
months and the second arrived at full period. Moore cites an
instance in which one of the fetuses perished about the third
month, but was not expelled until the seventh, and the other was
carried to full term. Wilson speaks of a secondary or blighted
fetus of the third month with fatty degeneration of the membranes
retained and expelled with its living twin at the eighth month of
uterogestation.
There was a case at Riga in 1839 of a robust girl who conceived
in February, and in consequence her menses ceased. In June she
aborted, but, to her dismay, soon afterward the symptoms of
advanced pregnancy appeared, and in November a full-grown child,
doubtless the result of the same impregnation as the fetus, was
expelled at the fourth month.
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