Mrs. R., an American lady, aged 31 years, was confined with her only child in 1876. Her labor was followed with an attack of cellulitis, especially severe on the right side. For seven years her menstrual periods were painful, and for the last two and a half the pain has been accompanied with convulsions. Her menstrual periods became more and more trying, and the pain in the right groin extending down into the leg and rendering locomotion difficult, increased in intensity from month to month. After enduring this disturbance for nine and a half years, she consulted me near the end of 1885.
—Dorsal decubitus; perineum, partial laceration; cervix uteri, bilateral laceration. Vaginal walls relaxed; cervical and vaginal leucorrhœa.Neither of the ovaries could be distinctly felt. The portion of the vaginal vault on the right of the uterus was tender to the touch, and to this region she