The following condition is reported mainly on account of its comparative rarity and to substantiate further the claim made by many authorities that in certain cases of ectopic pregnancy rupturing into the free abdominal cavity the patient may recover if left alone.
History.
—On March 27, 1908, was called to see a primipara, who presented the usual characteristic symptoms of ruptured extrauterine pregnancy. She had missed one period. A hot saline enema was given and the patient was removed to St. Joseph's hospital.
Operation.
—Four hours later, her condition having improved somewhat, the abdomen was opened under ether anesthesia and found filled with clotted blood, but nowhere were there signs of active hemorrhage. On passing the hand into the cul-de-sac and along both tubes, the only unusual thing noted was that the right ovary seemed to be somewhat enlarged, of soft consistency and collapsible. On bringing the ovary into the