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April 13, 1912


Author Affiliations

Cedar Grove, N. J.

JAMA. 1912;LVIII(15):1114. doi:10.1001/jama.1912.04260040130012

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Patient.  —Mary C., born in the West Indies, was admitted to Essex County Insane Hospital in December, 1888, aged 65. The diagnosis was acute melancholia. General condition remained fair until Nov. 15, 1911. when she was placed in bed. Physical examination revealed chronic endocarditis and a mass in the right iliac region which appeared to be adherent to the fundus and right uterine adnexa. On account of a thin abdominal wall the mass was easily palpable and the rough outline discernible. A diagnosis of calcified fetus was made. The patient died December 16 from pulmonary edema.

Necropsy.  —December 16, by Drs. Davies, Wardner and Smith revealed pulmonary edema, the mitral valve admitting tips of four fingers, forty-two gall-stones of assorted sizes and the mass in the right iliac region. The uterus and left tube showed senile changes. The right tube was imbedded in the mass with the exception of the