Hodgen speaks of a woman of twenty-seven, who was regular until November, 1872; early in January, 1873, she had an attack of pain with peritonitis, shortly after which what was apparently an extrauterine pregnancy gradually diminished.

On August 17, 1873, after a labor of eight hours, she gave birth to a healthy fetus.

The hand in the uterus detected a tumor to the left, which wag reduced to about one-fourth the former size.

In April, 1874, the woman still suffered pain and tenderness in the tumor.

Hodgen believed this to have been originally a tubal pregnancy, which burst, causing much hemorrhage and the death of the fetus, together with a limited peritonitis.