Combined anterior pituitary necrosis and bilateral cortical necrosis of the kidneys, following concealed accidental haemorrhage.

Mrs. E. C., aged 31, 2-para; was admitted to this hospital on August 27th, 1945, complaining of severe constant abdominal pain of 5 hours duration. Her past and family history were not significant. In 1937 she had had a full time normal delivery. In 1941 she had had a 7-months’ premature stillbirth, attributed to the cord being round the child’s neck. History of wesent pregnancy. Last normal menstrual period, January zoth, 1945. Expected date of delivery October 27th, 1945. She booked at her local clinic on June 26th, 1945, and attended again on July 25th. The urine showed no abnormality on these z visits, and the blood-pressure readings were 100/70 and 100/60 respectively. The Wassermann and Kahn reactions were negative. Evidently she was not a co-operative patient since she did not take vitamins and iron as advised.