504 PROFESSOR BERTRAM C. A. WINDLE. 



both ventricles. The bronchial arteries, which were much enlarged, 

 functioned as the pulmonary arteries. Mace records a case of 

 ohliteration of the cesopliagus opposite the first and second rings of 

 the trachea. The upper segment of the CBSophagus opened into this 

 tube. Sternberg (xlviii.) adds another to the cases oifissura sterni. 



VI. Abuomex. 



Paquy (xlix.) gives a description of a teratoma found in the abdomen 

 of a female still-born child. The abdomen measured over 14 inches 

 in circumference, and through its walls a soft tuberous mass could be 

 felt. All the abdominal and pelvic organs were normal, except the 

 omentum, which was occupied by a tumour made up largely of 

 cartilage with glandular elements and abundant blood-vessels. 

 Teratomata due to foetal inclusion are always supra-umbilical and 

 closely connected with the alimentary canal. Out of 28 cases 

 collected by Ropin, their seat is noted in 14, namely, between the 

 layers of the transverse meso-colon, 5 ; between the kidney, pancreas 

 and diaphragm, that is to say, at the base of the transverse meso- 

 colon, 1 ; in the folds of the mesentery, 5 ; between the layers of the 

 great omentum, 2 ; in the gastro -hepatic omentum, 1 case. Schenk 

 (1.) records a case of congenital lateral ventral hernia in an infant. It 

 existed on the right side between the ribs and the crest of the ilium. 

 The suggestion is that the ill-development of the muscles of the right 

 . side, which permitted the hernia, was due to sharp pressure of the 

 strongly flexed right knee against the loin. When the knee was 

 flexed, it was found that it fitted into the gap in the muscles which 

 formed the neck of the hernia. The forced flexion of the limb 

 appears to have been due to scantiness of liquor amnii. Gandy (li.) 

 records a case of congenital duodenal direrfictdum projecting from the 

 gut on the left side below the head of the pancreas. A case of 

 duplicity of the inferior vena cava is very fully described by 

 GoBRuN (Hi.). Warthin (liii.) describes the finding of an accessory 

 adrenal about the size of a pea in the broad ligament. Full micro- 

 scopic details are given. The author says that he has found twenty- 

 three reported cases since ]\larchand first described the condition in 

 1883. AuDiON (liv.) narrates a case of epispadias in a female infant. 

 There was no clitoris, and the meatus was placed above the anterior 

 commissure. The nymphffi were well developed, and the bvbia majora 

 formed two large swellings, one on either side. Cutore (Iv.) gives a 

 further account of the child aff'ected with epispadias, the subject of a 

 previous paper. The infant having died, a post-mortem examination 

 was made, which revealed the fact that the corpora cavernosa were 

 placed below instead of above the urethra. Wells (Ivi.) has an 

 elaborate paper on cases of dv]jlication of the uterus and vagina, with 

 a full account of the literature of this subject for the past decade. 

 He divides the observed cases into the following categories: — 1. 

 Uterus septus, a uterine body with a fundus of normal shape or some- 



