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Clinical Report.

JAMA. 1903;XLI(15):911. doi:10.1001/jama.1903.02490340019004.
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ABSTRACT

A CASE OF CONGENITAL SACRAL TUMOR— SPINA BIFIDA.  E. VIKO, M.D.SALT LAKE CITY.Reading the report of a case in The Journal, July 25, 1903, by Dr. R. Henderson, leads me to relate a unique case in my experience:July 4, 1898, I attended Mrs. C., aged 25, in her second confinement. Labor progressed rapidly and normally until the head and body down to about the navel protruded from the vulva, when there was a sudden check to the expulsion of the hips and lower extremities. On pulling gently the hips appeared to be firmly held by some obstruction in the uterus. My first thought was that I had possibly to deal with twins. The uterus seemed to be unusually full. As part of the body of the baby was in the vagina and the hips and lower extremities in the uterus, it was difficult to explore the genital

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