The corpus luteum produces two hormones in varying amounts, oeostrin and progestin. The latter has been found to be important for the embedding of the ovum and for the preservation of the embryo during its early life. Whether the presence of the corpus luteum is necessary for the anterior pituitary gland to exercise its hormonal influence during early pregnancy, has not, as far as I know, been subjected to clinical observation. The following case, in which the Aschheim-Zondek test (Friedman modification) was repeated thirteen times after the removal of a twisted ovarian dermoid and a corpus luteum cyst complicating pregnancy, afforded an opportunity of noting whether the pregnancy reaction persists in the absence of the corpus luteum. Mrs. M. T., a private patient of Dr. Richard Hoffmann, was operated upon, June 12, 1934. Her last menstrual period began April 16. Previously symptom-free, she was suddenly seized with severe pain in the left lower abdominal quadrant and vomiting two days before her admission to the hospital. A large globular mass was found in the left half of the pelvis; the uterus was enlarged and soft. At operation there was a moderate amount of sero-sanguinous fluid in the pelvis. The uterus was found to be enlarged to the size of a seven-weeks’ gravidity. There was a twisted dermoid ovarian cyst on the left side, which was removed. The right ovary contained a smaller cyst, which was also removed. The latter, upon histological examination, was found to contain the corpus luteum of pregnancy but no dermoid particles.
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