of an abdominal swelling and much constitutional disturbance. She stated that she had first noticed the lunip after her second confinement, but that it gave rise to no inconvenience at that time, or even during her third pregnancy. This pregnancy cndcd i n a full-tcrm natural labour, three months previous to admission. Two days aftcr her confinemrnt she felt very ill, with great weakness and nausea, and since then had been pmctirally confincd to brd. On admission she looked thin and pale; her

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... mperature was normal, but the pulse rate was almost constantly 120. A smooth round mass could be felt in the lower part of the abdomen, almost central, and rising an inch and a half above the umbilicus. On vaginal examination the cervix appeared t o he pulled iip and attached to the mass felt in the abdomen. On opening the abdomen, Noremhcr 16th 1907, the tumour was found to be closely adherent t o the abdominal wall, and to the surrounding intestines. The adhesions were vciy firm, and some time and care were required i n scparating them. The tumour was then found t o be a uterine fibroid, and supra-vaginal hysterectomy was 16