. Carnegie Institution of Washington publication. 84 OP SUR LE SORT DE L'EMBRYON DANS LA GROSSESSE TUBAIRE. maladies vénériennes. La dernière période a commencé le 15 juillet 1913, et le précédent 4 semaines plus tôt. La douleur est venu sur 5 semaines avant l'opération, qui a eu lieu le 26 juillet. Quelques anciennes adhésions furent trouvés ; autrement, avec l'exception de l'orreille tube, tout était normal. Le tube droit a été supprimé. Le spécimen unruptured v;est amené au laboratoire et fixé dans le formol. La fin de l'utérus est apparemment normal et le caillot dépasse de l'extrémité des sections .liséré est passé de quatre

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. Carnegie Institution of Washington publication. 84 ON THE FATE OP THE HUMAN EMBRYO IN TUBAL PREGNANCY. venereal disease. The last period began July 15, 1913, and the previous one 4 weeks earlier. Pain came on 5 weeks before the operation, which took place on July 26. A few old adhesions were found; otherwise, with the excep- tion of the distended tube, everything was normal. The right tube was removed. The unruptured specimen v;is brought to the laboratory and fixed in formalin. The uterine end is apparently normal and the clot protrudes from the fimbriated end. .Sections were cut from four por- tions of the tube. Those through the uterine end show that the muscle wall is hypertrophied and the tube lumina multiply, about 20 being present in a single section. Some of the lumina end in blind pockets. The fimbriated end appears edematous, possibly a post-operative change, as the specimen is covered with a fungus. However, the blood-vessels are gorged with blood. The two sections through the clot show that it is well organized and contains a collapsed ovum and swollen, degenerated, and necrotic villi. The trophoblast is absent; the clot is not adherent to the tube wall, but the latter shows some inflammatory reaction. No. 741. (Dr. Watkins, Baltimore.) (Plate 8, figs. 2, 3, 4.) Pus tube, 30 mm. in diameter, on the left side, and un- ruptured tubal pregnancy, 70X50X40, on the right side. The specimen is from a white woman, 28 years old, mar- ried 2j years ago. No previous pregnancies. No appar- ent venereal disease. Low grade of chronic pelvic inflam- mation, possibly gonorrhea!. Last normal period March 16, 1913. Regular and normal till then. Missed three periods and then bled for 10 days. Operation, August 14, 1913. Specimen placed in 10 per cent formalin at. FIG. 11.—Outline of tube with ovary attached (No. 741). 4 p. m. and slabs cut with a Gillette blade at 6h 15m p. m. Fresh formalin. The. blade laid bare the ehorion sur- rounded by a large blood clot. The pus

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