626 PHILOSOPHICAL TRANSACTIONS. [ANNO 1785. 



Mr. Scott, observing that till 17 69 no exact memorandum was kept, except of 

 the number of times, though the quantity of water drawn off was always mea- 

 sured. By his father she was tapped 26 times, averaged at 70 pints each time : 

 by Mr. Donne once, 73 pints, which makes l683 pints from some part of the 

 year 1757 to 1769. By Mr. Scott 3, 4, or 5 times in each year, from 1769 till 

 1783, amounting in all to 6631 pints. 



It appears, that 108 pints was the greatest quantity ever taken away at any one 

 time; that she was never tapped more than 5 times in any 1 year; and the largest 

 quantity ill a year was 495 pints. The most collected in the shortest space of 

 time was 95 pints in 7 weeks, from July 24th to September 10th in 1780, which 

 is very nearly 2 pints a day. It appears also, that in the last 14 years of her life, 

 when a regular account was kept, she increased faster in the winter than in the 

 summer months. If the 6 summer months from April to Sept. inclusive are 

 reckoned, she lost in the 14 years in 23 operations 1972 pints, and in the winter 

 months from Oct. to March inclusive, by 30 tappings, 2596 pints ; and it will 

 be found, that 30 is to 2596 rather more than 23 to 1972, so that 7 more tap- 

 pings were at least necessary in the winter than in the summer. In the months 

 of March and Nov. she oftener underwent the operation than in any other. In 

 these calculations the 3 months in 1783 are not included, as the year was not 

 finished. 



If this case be compared with the famous case of Lady Page, related by Dr. Mead, 

 the quantity of water taken from her ladyship appears small when opposed to the 

 number of pints drawn from Sarah Kippus. The one lost 1920, the other 6631. 

 It must be confessed, however, that Lady Page collected faster than the poor wo- 

 man whose case is here related. Mr. M. next gives an account of the dissection, 

 and makes some observations on the whole. On the 10th of August 1783, the 

 woman died ; and the following day Dr. Dack, an eminent physician of this 

 place, accompanied him to open the body. Mr. M. first drew oft" 78 pints of 

 clear water: supposing therefore all the water to have been taken away at the last 

 operation, then in 3 weeks she had collected 78 pints, which is more than 3-^ 

 pints in each day : a quantity far exceeding what she had taken. Mr. M. then 

 opened into the cavity from which the water came, and separated the sac from 

 the peritoneum, and found the sac had arisen in the ovarium of the left side. 

 After this, he dissected out the uterus, with the right ovarium in a natural state, 

 and thus obtained every part necessary to show the disease, viz. the uterus, the 

 right ovarium sound, and the left enlarged into an immense pouch. The cyst it- 

 self was not very thick, but lined in almost every part of it, but more especially 

 in the fore part, with small ossifications. The peritoneum was prodigiously 

 thickened, and thus, by its additional strength, became the chief support of the 

 water. There was something singular in the sac itself, for it was rather 2 than 



