This case is deemed worthy of record for four essential reasons:
1. It emphasizes in a most striking manner the importance of delaying operation until reaction reaction from shock has occurred in critical cases of ruptured tubal pregnancy.
2. It calls attention to the fact that simple means can often be utilized to promote this reaction.
3. It presents an example of the grave complications that may be encountered in operating in such cases.
4. It further illustrates the wisdom of not irrigating or flushing out the peritoneum with water or salt solution in severe hemorrhage, reliance being placed simply on the non-toxic properties of serum, after the rapid removal of the blood-clots.
—The patient, Mrs. G., aged 28, the mother of one child 7 years old, had had