190 DES C Rl F T I ON of an 



nary fenfations for a fliort time before this attack, flic exprefTed 

 to her friends a great defirc, that, fliould Ihe die, her body 

 might be examined. 



The abdomen being opened, there appeared, proceeding 

 from the pelvis, a confiderable quantity of blood, both in a 

 fluid, and in a coagulated, ilate : two meafured quarts were 

 taken from the cavity. 



The fource of the hscmorrhage was an interefling point of 

 inquiry. This foon appeared. In the middle of the Fallopian 

 tube of the left fide, nearly at an equal diftancc from its fim- 

 briated extremity and its termination in the uterus, a pouch 

 was formed, aboxit the fize of a pigeon's egg, or a little larger, 

 of an oval form, in the middle of which was a rupture, of the 

 bignefs of a fmall quill, through which it was plain the blood 

 had ilTued. The parts were removed, for more accurate exa- 

 mination. Having divided the vagina, I was ftruck with the 

 appearance of a quantity of jelly, extending from the os uteri, 

 and alfo with the increafed fize of the uterus, which led to a 

 fufpicion that there had been a recent conception. The na- 

 ture of the cafe now began to unfold itfelf. It appeared, that 

 an extra-viterine geflation had taken place ; that the procefs was 

 going on in the Fallopian tube, the embryo having refted there 

 inftead of pafllng to the cavity of the iiterus ; that the tube had 

 enlarged to the capable extent, and then had burft. The fim- 

 briated extremity of this tube was open as ufual, and its cavity 

 nearly of the natural fize, perhaps a little enlarged. It poflTclTed 

 alfo the tortuous form, as is common, till it began to expand to 

 form the pouch. The tube was of its natural fize alfo, in that 

 half towards the uteriis, and was alfo pervious ; for, quickfilver 

 was introduced by the tube near the uterus, towards the pouch, 

 which paflfed readily, and infinuated itfelf between the pouch 

 and its contents. The quickfilver paflcd readily alfo into the 



cavity 



