Friday, May 31 ~g r z . The PRESIDENT in the Chair. HBMATOCOLPOS AND H&MATORIETRA PROX ATRESIA VAGINALIS. Dr. M. J. GIBSON said this specimen was rcnioved from a girl, aged twenty, who was both mentally and physically defective. She could not give a clear account of her symptonis, but it was ascertained that she had suffered from pelvic pains for about four years, and had never menstruated. Examination showed a large tuniour occupying the lower abdomen, reaching to the umbilicus. Examination by

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... the bowel showed that the tuiiiour filled the pelvis coinpIetely. The abdomen was opened, and the tumour removed cntire. The patient's convalescence was uncventful. The uterine arteries were not to be seen during the operation. The patient was now in a much better state of health, and her mental condition was impiovcd. A vagina was not to bc seen. HZMATOCOLPOS AND H~M A T O M E T R .~ FROM kfI<ESIA OF THE I,WT \'AGJNA IN A CASE OF DOUBLE IJTXRUS AND \'BGINA. Dr. M. J. GIBSON said this speciiiien was renioied from a girl, aged nineteen, who had been menstruating regularly since she was fifteen years of age. Fourteen montlis before operation she began to suffer from sciatica, and twelve months later a tumour was -lo be felt a little above the pelvic brim. The pain at this time was illtense, needing injcctions of morphia. The patient was then sent to him, and he found that the pelvis was occupied by a tense cystic tumonr, at one side of which a small uterus was to be felt. The vulva, vagina, and vaginal portion of the cervix were apparently normal. The tumour was fixed in the pelvis, and was considered to be a pelvic abscess. On opening the abdomen a uterus with only one tube and ovary was to be seen at the right side of the pelvis, and at the other side, we11 above the pelvic brim, the left tube arid ovary were seen attached to the apex of the tumour. A diagnosis of double uterus and vagina was then made, and the mass was removed entire, leaving the ovary. The patient recovered very well from the operation, and is menstruating normally. SEPTIC UTERUS REMOVED IMMEDIATELY AFTER CZSAREAN SECTION FOR Dr. M. J. GIBSON said the patient from whom he had removed the specimen first came into the Coonihe Hospital two years ago. She was then suffering from rectocele with rctroversion and descent of the uterus. She was then aged thirty-two, and had four children. She had one abortion. The treatment was amputation of the cervix, colpoperineorrhaphy, and ventral suspension. She became pregnant four months afterwards, but aborted a t the second month. The ovum was expelled entire, and there was no fever. During her next pregnancy she got on very well until she reached what she considered to be full term. Labour then came on and the membranes ruptured soon after the pains began. Three or four hours SACCULATION FOLLOWING VENTRAL SUSPENSION.