Palpation revealed a cystic immobile tumor, extending 2 inches above the umbilicus and apparently fixed by deep adhesions.

The fetal parts could only be made out with difficulty by deep palpation, but the heart-sounds were easily heard to the right of and below the umbilicus.

By the right side of this tumor one could feel a small one, the size of a Tangerine orange, which hardened and softened under examination.

When contracted the groove between it and the large tumor became evident.

Vaginal examination showed that the cervix, which was slightly deflected forward and to the right and softened, as in uterine gestation, was continuous with the smaller tumor.