I T IS not an uncommon occurrence to find a fibroid uterus retaining a pregnancy, but the case which I wish to present developed unusual features which are of sufficient interest to warrant its report. On May 26, 1929, I was called to the’ home of Mrs. F., an American negress, who had for several months been under the care of a physician for dropsy. She had a marked generalized edema and the abdomen was enormously distended with fluid, blood pressure 180/150. She complained of blurred vision and epigastric pains. The urine was loaded with granular casts and albumin. She was thirty-eight years old and had been married fifteen years. She had not menstruated for six months, previous to which time her periods had been normal and regular; she had never before been pregnant and gave no history of venereal disease. The Wassermann reaction was negative, but smears from the vaginal glands were positive for gonococci. Examination revealed a very large uterus with numerous large and small fibroids and a fetus of about six months’ development. Tincture of digitalis and magnesium sulphate were given in large doses, together with rest in bed and a regulated diet. The anasarca rapidly disappeared and general improvement became noticeable; blood pressure became gradually reduced and on June 29 registered 130/75. At this time, labor pains developed and the membranes ruptured. She entered the hospital but refused operative help for forty eight hours. On July 1, a midline abdominal incision was made. The panniculus was very edematous and about two liters of fluid was removed from the peritoneal cavity. The uterus was incised and a four-pound baby girl removed. The broad ligaments were clamped and a supravaginal hysterectomy performed, leaving the placenta intact. The mother and child progressed well and went home on the twenty-first day, postpartum. However, a few days later infection developed in the line of incision and a sinus persisted for ten weeks, when a tape end appeared at the surface and could not be removed. On September 16 she entered the hospital and under local anesthesia, a large laparotomy pad was removed. The sinus closed rapidly and the woman made a compIete recovery. The baby at six months is doing well and weighs eight pounds. Dr. Steward L. Vaughan, Pathologist, describes the uterus removed as follows: The specimen is a uterus containing multiple fibroids which are chiefly subserous and intramural The entire mass weighs 2382 gm., is roughly gIobular in shape and measures about 22 x 12 cm. in its largest diameters. The uterus is partially involuted, has a wall with an average thickness of 1% cm. and the cavity is entirely filled with placenta. The umbilical cord appears normal. The diameter of the cervical canal at the internal OS is 2% cm. and the uterus was amputated at this point.