This brief communication is suggestive, and must take the form of a query, since the observations are too limited to allow conclusions except in possibility. The following clinical histories are at least interesting andinstructive.
Case I.—In the summer of 1883, Mrs. L., aged about 30, consulted me for pain in one limb which had given trouble since the birth of her only child, 18 months before, Her general health was excellent. Only a few days after visit, I was informed of her sudden death. She stepped heavily from a horse-car and felt something, as she expressed it, "give away" in her abdomen. Death followed in forty hours.
The autopsy showed a general peritonitis with an effusion of several quarts of a milky fluid. The left ovary presented a partly collapsed cyst, size of a pigeon's egg, from a small opening in which had escaped a very little dark colored semi-fluid