As my contribution to this evening's discussion, I beg to report a case of extra-uterine, retroperitoneal pregnancy that is especially noteworthy on account of its clinical course, anatomy, diagnosis, and treatment.
History (Dr. Fitch C. E. Mattison).—Mrs. L. S., 36 years 6 months old, born in Altenberg, Saxony, coachman's wife; 5 feet 3 inches in height, 130 pounds in weight. Family history good; mother living, father died from septicaemia following injury to the hand.
Married two years ago (September 23, 1888. Date of commencement of last menstruation, April 15, 1890; first pregnancy. Course of early pregnancy distinctly abnormal; patient said she was in bed at least three days out of the seven from pain and weakness.
Dr. Fitch first saw the patient September 23, 9:30 a.m., when he found a woman, with a large abdominal tumor, in a condition closely bordering on collapse. She was cold, pallid, nearly pulse less,