Here, on enumeration, we are confronted, in the 3d | Allen's, while, in point of 'style, it displays a marked column, with 19 instances of downright mistransla- superiority; for Hempel's English, though he was by tion, errors of omission, or bad English which impairs birth a foreigner, is always lucid and grammatical. the sense-i. e., one quarter of Hahnemann's symptoms, What sort of English Dr. Allen writes is partially from a single section of this most important remedy, shown by the above citations, but will be made more have been inadequately rendered by the encyclopedic apparent if we examine his mode of rendering some editor! On comparing the late Dr. Hempel's transla- of Hahnemann's longer and more involved construction of the same symptoms, we find that, though by no tions. Take, for example, the following from Opium, means faultless, and in part only a loose paraphrase ¡vol. VIII. of the Encyclopedia: of the original, it is less frequently inaccurate than Hahnemann. S. 27 (Note.) Die Geistes- und Gemüthssymptome lassen sich beim Mohnsaft nicht so genau von einander trennen, wie bei andern Arzneien, und die erstern zu Anfange bei den Kopf-symptomen, die andern zu Ende aller andern Zufälle stellen, weil sie bei Mohnsafte beide gewöhnlich sich zusammenpaaren. Wenn Mohnsaft zur palliativen Unterdrückung der Schmerzen, der Krämpfe, des entgegengesetzten Geistes- und Gemüthszustandes (wie in S., etc.), oder auch zur Vertreibung des naturgemässen Nachtschlafes (in letzterm Falle gewissermassen homöopathisch) gebraucht wird, so bringt er an der Stelle gewöhnlich solche Extasen des Geistes und Entzückungen des Gemüths hervoralles schnellvorübergehende Entwirkung Diese Extasen und Entzückungen kommen dem innern verklärter Erwachen der Somnambulen (Clairvoyance) oft sehr nahe. Literal Translation. When Opium is used for the palli- Here we see that whereas Hahnemann divides his note into two paragraphs, corresponding with two obviously distinct statements respecting the action of the drug, Dr. Allen runs them both together, as if they were continuous. Next, by a careless use of the conjunction "when," he completely alters the mean ing of the first sentence, or, rather deprives it of any meaning whatever. In the second sentence, not content with omitting the important word" suppression,' he continues to make Hahnemann talk nonsense; and, lastly, without the slightest warrant, converts a qualified parenthetical statement into one most emphati S. 1,108. * Hahnemann. * am Tage eben * Allen's Translation. S. 152 (Note). The mental and emotional symptoms of Opium can not be so well separated as those of other drugs, when the former are placed at the beginning, with the head-symptoms, the latter after all the other symptoms, because, in Opium, the two are commonly associated. Wher Opium is used for the palliation of pain, of spasm in the opposite condition of mind and disposition (as in S., etc.), or for the prevention of natural sleep (in the latter case, most certainly homoopathically), it usually causes in their stead, a mental ecstasy and emotional excitement--a very transient primary effect. This ecstasy and excitement are frequently like the internal clearness of somnambulism (clairvoyance). cally positive. And all this within the compass of nine printed lines! Surely, the sage of Coethan would have been far more worthily treated, if Dr. Allen, instead of "cribbing" here and there from Hempel's translation (as a comparison of their blunders shows that he has done), had boldly adopted it throughout. But, lest we should seem unjust to the "responsible editor," in confining our attention to a limited section of his work, we copy, in addition, the following, from "Pulsatilla," vol. VIII.: Literal Translation. * Allen's Translation. * during the day, anxiety, and flushing heat over the whole body, etc. * during the day, anxiety,* falls Angst, mit Zittern und Gefühl | with trembling, and sensation of flyvon fliegender Hitze am ganzen ing heat over the whole body, etc. Körper, etc. S. 1,141. Es ist ihr so still in Kopfe und alles so leer umher, als Her head feels as quiet, and everything about her feels as empty, as It seems so quiet in her head, and everything feels so empty, that she Last of all, we invite attention to what is undeniably the gem of the present collection, also to be found Hahnemann. S. 743. (Note) Die Symptome der Pulsatille wechseln auch in Rücksicht der Tageszeit, wo sie zu entstehen und in der sie anzuhalten pflegen. Die Haupttageszeit für die selbe ist der Abend, hienächst die Stun den bis zu Mitternacht. Seltener ist die Entst hungszeit der Pulsatille symptome Nachmittags um 4 Uhr, nach seltener früh, u. s w. under Pulsatilla. Literal Translation. The symptoms of Pulsatilla alternate in respect to the time of day at which they are accustomed to arise, and at which they cease. The principal time of day for them is the evening; next to this, the hours until midnight. Pulsatilla symptoms more rarely arise about 4 P. M: still more rarely in the morning, etc. This establishes the almost incredible fact that a professor of materia medica in the Homopathic College of this metropolis is so far from knowing exactly what is the leading aggravation of Pulsatilla in respect to time, that he gives a grossly incorrect translation of the very sentence (marked by himself as most important), in which Hahnemann has defined that aggravation in the plainest possible language! Note, also, with what distinctness of graduation the four periods are indicated in the original, and how the editor of the Encyclopedia has treated this descending scale. Allen's Translation. The symptoms of Pulsatilla alternate in respect to the time of day when they appear and disappear. THE PRINCIPAL TIME FOR THEM IS IN THE EVENING AND SUCCEEDING HOURS TILL MIDNIGHT. Symptoms are seldom noticed about 4 P M., and still more seldom in the morning. SANITARY ENGINEER. Issued on the 1st and 15th of An eminent English physician remarks that if every medical man would examine the drainage of his own house, and learn to what extent most people dwell over pent-up pestilence, we should have an army of sanitarias, earnest and keen to ferret out unsuspected sources of ill ness. Every physician should therefore read the Sanitary Engineer, which was established, in 1877, to enlighten the public regarding questions of house drainage, ventilation, heating, lighting, water supply, and public health. It contains matter for the householder, as well as for the professional and practical man, and is interesting to all people who either build houses or who live in them. Having thus obtained a sufficient number of "crucial" indications, to what conclusion do they lead? To none whatever, that we can discern, which does not imply the utter condemnation of Dr. Allen's work-in so far as Dr. Allen himself is actually responsible for it. The notes by Dr. Hughes throw interesting light upon Hahnemann's employment of authorities, and the precise import of their utterances. Other prominent contemporaries have aided efficiently in imparting value to the few original contents of the volumes. But with the great mass of these contributions the so-called "responsible editor," has really had nothing to do but insert them in their proper places And as to what he has adopted from French sources, we happen to know that he is incapable of even propIt employs the ablest specialists as contributors, and erly revising it. The one sole portion of this imposing it tries to discuss all topics with accuracy and fairness. structure which he can justly claim as the product of his personal and unaided abilities, is that portioning, Jr., of Newport, and Edw. S. Philbrick, C. E., of which we have inferentially shown to be honeycombed with error, and defaced with all the signs of heedlessness and incompetence. We are far from demanding that the amount of evidence here adduced shall be deemed all-sufficient in the case. If thought proper, let the final verdict be preceded by a more extended examination of the corpus delicti, especially the dishonored fragments of the Hahnemannian remains. We shall await the result in full confidence that it will justify the sentence we have foreshadowed, and relieve the Homoeopathic profession of any further responsibility in connection with Dr. Allen's gigantic and most discreditable fiasco. Its subscribers include architects, chemists, civil and gas engineers, health officers, physicians, officers of public institutions, with managers of large public and private corporations, and intelligent householders generally. Among its regular contributors, Col. Geo. E. War Boston, write upon sanitary engineering subjects; Prof. Henry Morton, president of Stevens Institute, treats topics connected with chemistry, and during the past year has very fully discussed the electric light, water gas, and food adulteration; Robert Briggs, C. E., of Philadelphia, and Dr. John S. Billings, U. S. A. vice-president of the National Board of Health, have in charge subjects connected with ventilation and heating; "School Hygiene" is the specialty of Dr. D. F. Lincoln, of Boston, and Hon. John D. Philbrick, LL. D., U. S. commissioner at Vienna and Paris Exhibitions. Tenement house reform has been written on by Chas. L. Brace and others. In a like manner other topics have been treated by competent men. It already has paying subscribers in thirty-four successful medical career, and his earnest usefulness Full details of the terms of a $500 competition for a model school will be found in the November 1st issue, together with the first of a series of articles by Dr. D. F. Lincoln, of Boston, and other experts, on sanitary school construction. Questions are solicited from persons seeking information on any of the subjects treated by this journal, which will be answered through its columns without charge, when they are of general interest. Inquiries of this kind from physicians will receive prompt at tention. OBITUARY. Dr. Erastus A. Munger, one of the most widelyknown and esteemed of the physicians of Oneida county, died Nov. 4th, at Waterville, N. Y. Dr. Munger was born in Copenhagen, Lewis county, February 12, 1813. He commenced the study of medicine in the office of Dr. S. G. Haven, in Waterville, with whom he remained two years. In 1834, at the age of twenty-one, he was licensed by the " Allopathic Medical Society of Oneida County," and commenced practice in Sauquoit. In the fall of the same year he entered Jefferson Medical College in Philadelphia, and graduated in March, 1835. He immediately commenced practice in Waterville, where his parents resided, and where he had spent most of his boyhood. In the summer of 1843 he went to New York for the purpose of learning something about what was then a new system of practice, homoeopathy, and through the influence of Drs. Gray, Freeman, Bayard and Kirby, he espoused the new practice, and returning home, became the first homoeopathic physician in Oneida County, there being none other in the vicinity nearer than Syracuse. The public at that date knew little of homœopathy, and probably no physician withstood more opposition, slander, ridicule and abuse than he when in the early days he stood alone as believer in, and patron of homeopathy. He became a member of the Homœopathic Medical Society at its organization, and was its first president. In 1848 he was elected a member of the American Institute of Homœopathy, in 1862, vice-president of the Homœopathic Medical Society of the State of New York, and in 1864 president of the State Society. In 1872 he was appointed by the regents of the university as a member of the State Board of medical examiners. He resigned the office on account of inability to attend the meetings of the Board. A special meeting of the Oneida County Homœopathic Medical Society was held to take action on the death of Dr. E. A. Munger. Drs. Wells, Watson, and Gardner were appointed a committee to draft appropriate resolutions, which were adopted as follows: Whereas, The members of this society have heard with deep regret the announcement of the death of Dr. E. A. Munger, of Waterville, Oneida County, therefore Resolved, That by the death of Dr. Munger, this society has lost one of its most distinguished members, who has filled with credit to himself and honor to the profession the office of president of the Homeopathic Medical Society of the State of New York, and of this Society. Resolved, That the medical profession of this county has lost one of its brightest ornaments, and the cause of homœopathy one of its most zealous advocates and defenders. Resolved, That we tender to the family of the deceased our most heartfelt sympathies, and that a copy of these resolutions be entered upon the minutes of this society. Resolved, That the members of this society will attend the funeral. Eminent as a physician, respected as a citizen, a man of sturdy and outspoken convictions, his death leaves a peculiar void in the community. His health had been gradually failing for the past few years, and the strain incident to so large a country practice enfeebled his constitution, till, yielding reluctantly his practice to his partner, Dr. George Allen, he died from general debility rather than from any particular disease. SCOTT-WRIGHT --Emma Scott- Wright, M. D., died in Brooklyn, Nov, 17, of tubercular phthisis, after an illness of eight months. She was born in St. Louis, Mo., in 1848; studied medicine in the N. Y. Med. College and Hospital for Women, where she graduated in 1871; and was subsequently appointed lecturer on theory and practice. in the same institution. She was the founder of the N. Y., Homœopathic Dispensary for Women and Children, in East 23d St., which, mainly through her efforts, is left in a flourishing and self-supporting condition. REPORTS OF SOCIETIES, ETC. GYNECOLOGICAL RETROSPECT. BY GERTRUDE A. GOEWEY, M. D. Read before the Hom. Med. Society of Kings County, N. Y. In preparing a review of gynecological literature, I have endeavored to call your attention to that which is most interesting, and present it in as concise and condensed a manner as possible from the various subjects selected. Dr. Garrigues offers some very interesting remarks on gastro-elytrotomy, in which he points out the superior advantages of the operation over Cesarean section. As early as 1806 the German obstetrician, Joery, proposed Cesarean section, but his plans were never executed. In 1820 Ritgen advised a plan, and in 1821 he operated upon a woman of narrow pelvis, owing to osteomalacia, but on account of the hemorrhage that followed the incision, he performed Cesarean section, saving the child. Ritgen: Die Angeigen der me chanischen Höelfen bei Entbindemgen. (Giessen, 1820, p. 406.) Baudolocque performed the operation in 1844. Nouveau procede pour pratiquer l'operation Cesarienne. (Thése de Paris.) This is the only case of gastroelytrotomy on record, before Thomas. Gastro-elytrotomy, a substitute for Cesarean section.' (Am. Jour. Obst., vol. III., No. 1, May, 1870) 66 With reference to the safety of the operation, Dr. Thomas makes this statement; that in New York, within the past two hundred and fifty years, there has been performed only one successful operation of Cesarean section, in which both mother and child were saved; while gastro-elytrotomy has been performed six times within eight years with three successes. Surely such evidence as this must be strongly in favor of gastro-elytrotomy, Most works on obstetrics do not even mention the operation, and it was lost sight of until Thomas in the second period of its history (1870) invented it in an improved form, not knowing at that time that the opera tion had ever been tried. Resolved, That we desire to record our appreciation His procedure of operation is precisely the same as of his rare professional ability, as exhibited in a most | Ritgen's, with this exception, that he tears the vagina, after he has cut enough to admit the tips of his forefingers. The theory he advances is, that the arteries of the vagina do not bleed as much when torn as when incisions are made. He sees no reason of interfering with large iliac vessels as Baudolocque did. His aim is to make a longitudinal rent, therefore he tears toward the os uteri, and toward the descending ramus of the pubes. One of Thomas' cases was a dead woman from whom he delivered a living child. Skene : History of a case of Gastro-elytrotomy." (New York Med. Jour., 1874, vol. XX, p. 401, seq.) In one of his cases the child was dead before the operation, but the mother was saved. In the last one, both mother and child were saved. "Gastro-elytrotomy successfully performed." (Am. Jour. Obst., vol. VIII, February, 1870.) "A second successful case of Gastroelytrotomy." (Ibid., 1878. vol. X, p. 628, seq.) Intimately connected with this question is the possi bility of operating on the left-side. Dr. Skene does not think it feasible, while Thomas expects to operate on his second patient on the left side. (Am. Jour. Obst., April, 1878, vol. XI, p. 245.) Baudolocque operated on the left side. The practical lesson conveyed from the history of his cases is, to avoid all sharp instruments. Ritgen tied only the epigastric artery, where Thomas and Skene, whose incisions extended toward the mesial line, only forcibly compressed the superficial epigras tric. The actual cautery of some kind renders the incision of the vagina comparatively safe. If the rent extends into the bladder, experience has shown--Dr. Thomas' second case and Dr. Skene's third case-that the fistula may heal of itself. Injections of lukewarm milk into the bladder immediately after operation has been advised to ascertain if fistula exist; if found, the fissure can be closed by a few stitches. The most recent, statistics of Cesarean section collected by Mayer show, in 1,665 women, a mortality of fifty four per cent. the same figure was obtained by Michaëlis, while Kayser even shows sixtyfour per cent. (Spiegelberg, Geburtshülfe, Yahr., 1878, p. 852.) Dr. Robert P. Harris, of Philadelphia, has gathered eighty-nine operations performed in the United States; fifty four per cent. of the mothers died, and of the children, fifty-one per cent. In the Lying-in-Hospital of Vienna during this century not a single mother survived. Dr. Thomas has found that since the incorporation of Nieuw Amsterdam in 1621, only once have both mother and child survived in New York. Comparison of the results of Cesarean section and Laparo-Elytrotomy in New York" (New York, Med. Jour., May, 1878. Statistics ought to induce obstetricians to give gastroelytrotomy a fair trial. The dangers are pointed out to be less in gastro-elytrotomy than Cesarean section. The sequel of gastro elytrotomy is cellulitis, but is not so fatal as peritonitis. Recommended in certain cases instead of craniotomy or embryotomy. Parey asserts that craniotomy gives no better results than Cesarean section where the conjugate diameter is two inches and one-half or less. "The Comparative merits of Craniotomy and the Cesarean Section in Pelves with a Conjugate Diameter of Two and a Half Inches or less." (Am. Jour. Obst, vol. V, p. 644.) The author of the paper says, gastro-elytrotomy is not to supplant any acknowledged obstetric operation. The question is only, if it ought not to be admitted among regular operations, and in what kind of cases ought it to be tried. Thomas substitutes the term laparo-elytrotomy for gastro, in his last publication on the subject. The surgical treatment of stenosis of the cervix-uteri by Dr. Sims, is a very interesting and lengthy article, containing forty-eight pages. Stenosis of the cervix uteri has long been recog nized as a cause of dysmenorrhoea and sterility. Professor McIntosh, of Edinburgh, was the first to demonstrate a method of treatment and to point out its influence upon menstruation He employed graduated bougies for dilating the cervix, but his followers never succeeded in achieving the victory in adopting his method. Simpson found that the cure was not permanent, and employed bilateral incisions of the cervix, and never uses tampon to arrest hemorrhage. He prefers per-chloride of iron and glycerine, by painting with camel's hair pencils, several times into the vagina. Sims found that alarming hemorrhage followed Simpson's method, and therefore made antero posterior incisions, inst ad of the bilateral, and objects to the use of iron as a styptic, but returns to the use of alum suggested by Dr. Thomas T. Pratt, of Paris. It has been found to be just as effectual in forming a consolidated immovable mass to hold the plug in the cervix, and the odor is not so disagreeable as when iron is used. He recommends saturated solution of alum (one to twelve) with carbonic acid added (one to forty), and after the plug is in the cervix, he tamponed the vagina with cotton wool alumnized. Sims claims that his operation is only applicable to cases of flexion where the intra vaginal portion is unequally developed, and the posterior segment is longer than the anterior, and in these cases there is more or less ante flexions. His present method of operating is to conjoin incisions (bilateral) with dilatation, using his metrotome and trivalve uterine dilator. He torcibly dilates, until the cervix is large enough to receive the cervical plug, which he has made of hard rubber, glass, sometimes silver or aluminium, graduated according to English measure. Since adopting the plug system he has had but two cases of hemorrhage, and those he claims were his own fault. In one case the patient objected to being catheterized, and on the third day hemorrhage occurred; the tampon had slipped and removed the plug from its proper position. His explanation is that there was no hemorrhage when operated upon, and did not fear any; he only put tampon enough to fill the upper half of vagina, and the efforts of the patient to urinate displaced the tampon, and hence the plug slipped down. From his experience with this case, and a similar one, he comes to this conclusion, that if the plug or tampon slips down, the success of the operation may be jeopardized. The patient is kept in bed, may lie on either side, but is not allowed to rise, and catheter must be used. On the sixth day the plug and tampon may be removed; sometimes part is removed on the third or fourth day; in two cases he removed in twentyfour hours on account of fever and rigors that followed, but these symptoms pass off on removal of tampon. The paper establishes two points: that bilateral incision belongs to Simpson, and is suitable for stenosis when the intra-vaginal cervix is normally developed, and the two segments symmetrical; and that antero-posterior incisions, when the intra-vaginal cervix is abnormally developed; when the posterior segment is two or three times as long as the anterior, and associated with ante-flexion, is Sims' method. The discussion was participated in by several eminent physicians. Dr. Fordyce Barker claimed that operation was sometimes per ormed unnecessarily, and was becoming more rare than formerly, and he did not believe that so many patients were cured as reported, and that the effectual cure should not be attributed to a few months' observation, but to years'. Emmet says when the flexure is above the vaginal junc ue and circulation obstructed, the operation is not successful. The first point is to determine if the flexion is due to old attacks of cellulitis, and if the cause can be determined, the operations for stenosis will pass out of sight. He claims that mechanical dysmenorrhoea depends upon defective nutrition somewhere beyond the uterus. Dr. Noeygerath, of New York, spoke of Dr. Peaslee's objections to the bilateral and antero-posterior operations. The object of the operation is to strengthen the cervical canal; in order to do this the cut would extend into the peritoneal cavity, which he objects to. The second objection is that the rent was made into the parenchyma of the uterus where large numbers of lymphatics aud veins were found, and often resulted in phlebitis and lymphangitis. He therefore incised the inner and outer os just enough to give it the normal calibre, and only cut through the mucous membrane. He also claims that many cases that are reported effectually cured, relapsed into the same condition as before, aft r eight or ten months. He could not see that one man in twenty years' practice would meet with nearly a thousand cases where the cervix-uteri required incision, and other physicians whose gynæcological observations were equally as large, found occasion to perform the operation in one-fifth the number of instances. Dr. Wilson, of Philadelphia, was no idvocate of either Simpson's or Sims' operation. He preferred dilatation, and success was permanent. Dr. R eve relates a case of rupture of the perineum without implication of the vulva. Mrs. S., aged thirty. three, was attended by a German midwife, in her third confinement. On the 10th day he saw the patient and found enormous laceration of the perineum. The rent was near the junction of the upper fourth with the lower three fourths of the labium (right side), extending to the outer boundary of the labium dwn ward, and crossed the perineum to the rectum; both the anal sphincters were divided, the laceration being an inch and a half. Nelaton's practice was resorted to by bringing the parts together with four silver wire sutures. His hopes were not realized; granulations did not take place. On the 21st day he proceeded to operate. Two wire sutures were put in the rectovaginal septum, two through the labium, and two deep ones through the perineum, the last four being quill sutures. To each end was attached a short piece of bougie. The strain on the stitches being unequal, it was found that the short pieces of bougie were a great improvement. This method was resorted to before Grailly Hewitt introduced his bead suture, in which the wires were attached to gutta-percha beads. The sutures were removed on the 27th day, and union had taken place except just above the internal sphincter ani, where a small fistula was found. On March the 4th he operated upon this rectovaginal fistula, not by forced dilatation of the anus, as is recommended by Thomas, for fear of laceration. His mode of operating is not stated, did not prove successful, and the patient passed from under his observation. The case is not mentioned for its successful operation, but for its great rarity of this, or any variety of central rupture of the perineum in a multipara. If failure of success depended upon not dividing the sphincter ani, he followed such authority as Hegar and Kaltenbach. (Die Operative Gynähologie, Erlangen, 1874.) There are only two cases reported in medical literature where a child was delivered by the rectum, the vulva not being implicated, and no particulars are given of these cases. The first is by Blundell, the second by Byford. An interesting case by Dr. Goodell, in which an arm protruded from the anus of a primapara after the delivery of the head, is worthy of note in this connection. (Gynæcological Trans., vol. I, p. 313) Dr. Boeur saw a case where two sphincters were torn. In one instance the child passed through the septum into the rectum and through the anus. Considering the direction of the forces, the relations of the parts, and the protrusion of the head, it is some what singular to me that the child does not more frequently make its exit through the anus. That central rupture takes place, leaving both anal vulvar openings unmolested, is another point of interest. Several cases are reported by Churchill, Velpeau, and Busch, while Moser gives thirty-three cases. Thirty-five cases of central rupture of the perineum occurring in primipara (which is usually the case) are reported by different authors. By medical research there is found but one fair case occurring in a multipara, and the author claims that his case, now reported, stands alone. Duparcque relates a case, second labor, where there was a resisting cicatrix at the fourchette. This modifies the circumstance accompanying the labor. The etiology of the subject can be found in systematic obstetrical works. The investigation as to the frequency of central perineal rupture is interesting. Birnbaum maintains the idea that there must be predisposing and determining cause to give rise to the accident. Eminent authorities say it arises from too great laxity of the perineum. Then this question arises: Why is it confined to primipara instead of multipara? Roux says rigidity of the perineum favors the accident, or it may be too thin and membranous. So late a writer as Olshausen expresses the same opinion, or if the perineum is too broad, the head is directed forward and bores down into the peritoneum; this structure envelops the hed like a cap, and on account of extreme thinness it bursts, and central rupture occurs more frequently when this condition is found. White, o Buffalo, says, in the discussion that followed, that he makes a triangular division of the perineum to prevent rupture, and that the surfaces heal readily, and thinks this procedure should be more frequently resorted to in rigidity of the perineum. Dr. The perineum was not more lax than usual in the case reported. He regrets that, having failed to operate immediately, a greater length of time should have been allowed before the operation. Extra-uterine pregnancy, with discharge of the foetal bones through the bladder, by Dr. White of Buffalo, possesses several points of interest. The case was first diagnosed as pelvic hematocele. The aspirator was used, and three or four ounces of straw-colored fluid were drawn off; peritonitis followed; subsequently found a recto-vaginal fistula. The operation upon this fistula proved successful, and in the course of a month a foreign body was expelled, which, upon examination, proved to be bone, the shape and size of a fœtal rib about the fourth month; other bones were frequently removed per urethra, by instrumental assistance. The bones were all clean and white except the last, which was covered with black calcareous deposit, not easily removed. A solid body still remains, which is supposed to be the skull encysted, bound down by adhesions. The bladder has resumed its normal condition. The location of this foetal tumor in extra-uterine pregnancy is rarely met with, namely, in front of uterus, and anterior to the bladder, as the discharge of the remains would indicate. The discharge of foetal remains through the bladder is, according to Parry, one of the most infrequent (being but two or three per cent.) of the various methods by which they may be disposed of. Of spontaneous elimination, those through the intestinal canal, vagina, and bladder more frequently prove fatal. Parry asserts that no surgical interference should be resorted to in extra-uterine preg nancy until the symptoms demanded. The opinion prevails that where an incision is made in the abdomen to remove foetus, the placenta should not be removed, Another case is related where the bones all pass off through the rectum in the course of three months. Since then this woman has had two children. Dr. |