368 Maximilian Herzog. 



very uncommon combination of circumstances which will furnish an 

 investigator with a still better, equally young, human specimen. The 

 ovum was obtained in situ from a healthy woman, with absolutely 

 normal and healthy genitalia, who was almost instantly killed by a 

 most peculiar accident. 



The body of the woman was brought at once to the public morgue, 

 and there placed in a large refrigerator. The post-mortem exam- 

 ination was made by the author, and the findings, as usual were 

 recorded in the shape of a post-mortem protocol, which here follows, 

 verbatim, as written down at the time. 



Mrs. M. R., from Intramuros, Manilla; Filipina, aged 25, died 

 July 17, 1904. The post-mortem examination was made July 18, 

 twelve hours after death. Immediate cause of death not known. 

 It was stated that she had been struck by a small carriage (called 

 carromata in Manila) shortly before she died. 



Body of a well-developed young native woman, twenty-five to 

 thirty years of age. Post-mortem rigidity strongly marked. Post- 

 mortem lividity quite noticeable. Abdomen ' somewhat distended. 

 A repeated careful inspection fails to show any signs of ex- 

 ternal violence. 'No Avounds, contusions or abrasions of any kind 

 to be seen. On opening the thoracic cavity, the pericardium is 

 found to be much distended, and shining through it there appears 

 to be a firm, dark, blood coagulum. On opening the pericardium, 

 it is found that it contains a large amount of dark, coagulated, gel- 

 atinous blood, and blood-tinged serum, distending the pericardium 

 ad maximum and compressing the heart. A careful examination fails 

 to show any perforation in the pericardium. The heart, which 

 weighs 226 grams, presents a perforation, which begins two centi- 

 meters to the left of the anterior border of the interventricular sep- 

 tum. The perforation extends almost horizontally toward the left, 

 being a little downwardly inclined. It forms a slit 2.2 centi- 



Charles Sedgwick Minot, Franklin P. Mall, A. Playfair McMurrich, T. G. Lee, 

 and F. T. Lewis. 



Previous to this communication, the specimens had been demonstrated in 

 June, 1907, before the German Medical and the Gynecologic Societies of 

 Chicago. 



