Well considering that the woman had pseudocyesis, and had proceded to "term" without that being discovered - she either had no prenatal care or demanded hands off prenatal care, and probably had a minimally trained provider such as a lay midwife with little experience (if she had been receiving ob care, I am sure that they would have also been listed in the complaint). With that, I see nothing extraordinary about her also refusing monitoring and ultrasound once walking in to the hospital. Without out those tools, doctors have basically their hands and eyes to figure out what the situation is. As has been stated many times on these boards, especially the UC boards, many things can look like pregnancy and make your body act pregnant. I am sure there is a lot more to this story, but if surgery progressed to the point where her uterus was out and they still thought she was pregnant - there was some kind of medical condition at work here causing the pregnancy symptoms.