302 Dr. Granville on the case of a 
soft and moveable, yet perfectly distinct, placed immediately 
above the region of the pubis, and a little to the left of the 
linea alba. My attention was, therefore, directed to the in- 
vestigation of this point. 
The integuments and muscular coverings of the abdomen 
being successively and carefully removed, a considerable 
quantity of fluid resembling blood, to the amount of several 
pounds, was discovered to fill every space which the viscera 
did not occupy. Many large coagula of pure blood lay here 
and there on the surface, and amongst the convolutions of 
the intestines ; under the stomach ; in the right hypochon- 
drium principally ; and in the cavity of the pelvis, where both 
the coagula and the fluid were in so large a quantity as com- 
pletely to obscure from sight the internal parts of generation. 
Another obstacle to the view of these organs, even after the 
intestinal mass had been laid aside, was a tumour of the size 
of four times that of a hen's egg, partaking of the general 
black-reddish hue of all the surrounding parts. 
A blood-vessel of the size of a large crow-quill, which 
penetrated the dense portion of the tumour, was traced up- 
wards to the descending aorta, and was ascertained to be a 
branch of the left spermatic artery. A smaller and much 
shorter vessel, arising from the tumour, was also found to 
communicate with the spermatic vein ; thus establishing a 
complete circulation to and from the parts. The inferior 
and left half portion of the tumour presentsd a surface con- 
sisting, in two or three places, of diaphanous membranes, 
through which a fcetus of about four months growth was 
readily discovered. 
The fact of an extra-uterine conception being thus made out, 
I proceeded to detach the parts from the pelvis, and brought 
