Extra-uterine pregnancy generally terminates fatally. In the abdominal form, the pregnancy may progress to the later months of gestation, when, losing its vitality, the fœtus may decompose, producing peritonitis and death, or it may become encapsulated and gradually absorbed; or by the ulcerative process, the remains may be discharged into the intestinal canal, or through the abdominal walls. Where the case has been diagnosed before death, the dead fœtus has been successfully removed by abdominal section. In the varieties of _tubal_ pregnancy, rupture of the tube, and death from hæmorrhage usually takes place in the early months, as in the following case: CASE.—_Tubal Pregnancy, with Rupture of the Fallopian Tube—Hæmorrhage and Death._ Mrs. C——, aged thirty-three years, four years married, but childless, had been indisposed for two weeks. Early in the morning of July 9th, she was taken with severe pain in the lower abdomen, nausea and vomiting, rapid prostration, increasing tumidity of the abdomen, and death at 7 o’clock P. M. Thirty-six hours after death, assisted by the attending physicians, Drs. H. J. Sartain and E. Calvin, I made a post-mortem examination. “A quart of bloody serum was sponged out of the abdominal cavity, then a pint and a-half of black coagula was removed, when the pelvic viscera were exposed. The right Fallopian tube was found _enlarged and ruptured_, within an inch of its connection with the uterus. The ovule had lodged in the tube, about half an inch from its outlet, and there formed its attachments. The oozing blood from the ruptured arterioles and venules of the tube, had destroyed the outline of the embryo, leaving a sort of granular debris lying in the fragments of the membranes, which were detached from the inner surface of the tube. The nidus measured externally about an inch in length, and three-quarters of an inch in transverse diameter. The walls of the uterus were slightly softened, and the decidua had formed.”[40] Section III. THE OVARIES AND FALLOPIAN TUBES. [=Notice=: 1. _External Characters_ of ovaries; size; color; consistence; soft and boggy, or firm and hard; surface smooth, or rough, irregular and fissured; cysts beneath the surface, or projecting from same. _Characters on section_—color, density; condition of stroma, consistence, etc. Corpora lutea: number, size, situation; cysts; tumors; abscesses; tubercles; cancer, etc. 2. _Fallopian tubes_—absent or malformed; length; size of canal; thickness of walls; condition of fimbriated extremity; tumors, tubercle, cancer, etc.] 1. The Ovaries. =Malformations and Malpositions.= The absence or arrest of development of one or both ovaries is occasionally met with.