There have been instances in which the whole uterus and its appendages, not being recognized, have been dragged out.

Walters cites the instance of a woman of twenty-two, who was in her third confinement.

The midwife in attendance, finding the afterbirth did not come away, pulled at the funis, which broke at its attachment.

She then introduced her hand and tore away what proved to be the whole of the uterus, with the right ovary and fallopian tube, a portion of the round ligament, and the left tube and ovarian ligament attached to it.

A large quantity of omentum protruded from the vulva and upper part of the vagina, and an enormous rent was left.