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This case is reported because of two unusual features: the simultaneous occurrence of pregnancy in the two fallopian tubes, and rupture of both tubes with a considerable interval separating the two accidents. H. U., an unmarried woman, aged 41, was taken suddenly ill, June 26, with severe cutting pain in the right lower quadrant of the abdomen, with faintness and nausea. The pain occurred while lifting a heavy chair. The physician who was called did little, evidently, beyond giving a hypodermic injection of a narcotic. The patient stayed in bed for three days and then returned to work. She noticed only some tenderness of the abdomen and general muscular weakness. July 10, a similar seizure occurred with pain in the left lower quadrant of the abdomen, faintness and vomiting. There was a slight vaginal discharge of dark blood. The same physician was consulted, but no treatment was prescribed save rest

To the Editor:— Frequently during laminectomy, the surgeon complains that the blood from the epidural space is "dark" despite the fact that the anesthesiologist is administering oxygen concentrations of 40% or more in the anesthetic gas mixture. There is generally no concurrent indication of hypoxemia in terms of respiratory or circulatory signs and there is no obvious cyanosis in the upper regions of the body. Nevertheless, the dark blood in the wound is disquieting. The conservative anesthesiologist may discontinue all anesthetic agents and administer 100% oxygen in an attempt to correct the situation with the result that the anesthesia becomes light and the patient begins to cough due to the endotracheal tube. Other anesthesiologists question the powers of observation of the surgeon which may result in an unpleasant altercation. In order to determine whether the observation of dark blood was apparent or real and, if real, to determine its significance