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H. A. Sharpe, Ph.C., M.D.
JAMA. 1912;LVIII(24):1857. doi:10.1001/jama.1912.04260060206012.
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While a number of cases of a teratocephalic fetus are reported in the literature, I find none with an associated hydramnion of this size. I am also desirous of bringing out a point in regard to this case which I have not seen mentioned, and which may well be borne in mind in dealing with hydramnion, i. e., in making a digital examination through a small cervix, care should be taken not to mistake an encephalocele with acrania for placenta praevia. Edgar states that hydramnion is associated with monsters in 10 per cent. of all cases.

History.  —The patient, a woman aged 38, was always healthy and had had six previous pregnancies without dystocia. Her family history was negative. I saw the patient June 10, 1011, at 11 p. m. She was eight and one-half months pregnant and had had pains for thirty-six hours, which had not become severe until


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