To chronicle a success now-a-days in ovariotomy is, like "carrying coals to Newcastle," a work of supererogation; and I should not bring this to the notice of the profession, did I not deem it expedient to point out some minor details deserving more than a passing notice.
The patient, Mrs. D., aged 50, white, multipara, was first seen by me on the 5th of November last, when the following history was obtained. There had been a gradual enlargement of the abdomen for three years, during which time she had been treated for an enlarged spleen, thought to be caused by chronic, malarial poisoning. Accompanying the abdominal enlargement there had been anorexia, emaciation and progressive asthenia. Of late, marked dyspnœa was experienced whenever the recumbent posture was assumed. Urine normal. Menstruation had ceased five years ago. Upon examination, the abdomen was found to be enormously distended by an elastic, fluctuating mass.