C ASES of coexisting tubal pregnancy and tuberculous salpingitis have been reported from time to time. Blandi in lQ40 cited 32 cases in an exhaustive study of the literature and added a case of his own. Since that time eight additional cases have been reported?Q More cases would come to light if all tubal prenancies were studied microscopically. Of 179 tubal gestations and 17 patients with tuberculous salpingitis seen in the past 10 years at the two hospitals where the author is affiliated, the case reported here is the only one with coexistence of tubal pregnancy and tuberculous salpingitis. G. M., aged 29 years, para o, gravida i, was admitted to the hospital on Aug. 2Q, lQ56, with the chief complaint of abdominal pain. She is a graduate nurse. Ber last menstrual period was July 1, 1950. For two weeks prior to admission the patient noted persistent scanty vaginal bleeding. On Aug. 25, 1950, she noted the sudden onset of sharp stabbing generalized lower abdominal pain, most severe in the left lower quadrant. This subsided to a dull ache after twelve hours, when the aut,hor was consulted. Examination showed a nullilmrous outlet and a normal cervix. The fundus was of normal size, forward and fixed in position, apparently by an ill-defined semisolid, moderately tender left adnexal mass. The right adnexa were norurdl. A Hogben test was found positive on Aug. 29, 1950, by which time the patient’s condition had improved. Repeat pelvic examination at this time was essentially unchanged. Three hours later the patient was admitted to the hospital because of a recurrence of excruciating left lower quadrant pain. Menz albumin 0, sugar trace, 4 to 6 white blood cells per high-power field, occasional hyaline casts. Operatti.-a large quantity of old aud fresh blood was found largely eon6ned to the left lower quadrant of the abdomen. The left tube was found to be prolapsed behind am1 adherent to the left broad ligament. It was two to three times the normal diameter in its entire length. Covering the limbria were atllrerent 1~100~1 clots beneath which fresh blood welled