A Case of Abdominal Pregnancy

A patient was admitted into the hospital on 6th April, 1940, for an abdominal tumour. The history was 'hat about 13 months ago she thought she became Regnant and had all the signs and symptoms of l'regnancy to the end of full nine months. She seemed jibsolutely certain on the point of foetal movements, ?ut not much faith was put on her statements, as so often the observations of these village women are inaccurate and therefore misleading. At the end of nine months, when nothing happened, she went to a hakim wlio gave her some ' strong' medicine and her abdomen started shrinking. From the size of a fullterm pregnancy, the tumour had reduced to that of about seven months. But finding that it did not reduce any further, she sought the aid of the hospital. Examination.?The patient was of an average build, middle-aged, had six children, was slightly anaemic, and debilitated. There was a hard, painless, lobulated tumour in the abdomen, rising well above the umbilicus; a much larger lobe on the right side, separated by a groove from a smaller lump on the left. The mobility was fair but not too free. There was no thrill and no sign of inflammatory trouble. The tumour was taken to be a uterine fibroid, with a possible left parovarian cyst added on (the left lump was in fact a parovarian mass, as it turned out 011