542 



Diseases of the Getiital Organs 



one instance one horn contained a desiccated hematoma and 

 the other an apparently healthy embryo three or four inches 

 long. The plan of the hematoma is well illustrated in Fig. 

 177, in which the right cornu is completely filled by the old 

 blood clot, while the left horn remains normal and vacant. 

 The only interpretation which I can place upon the condi- 

 tion is that, at the termination of the last pregnancy, there 

 occurred within a few days a voluminous hemorrhage into 

 the gravid horn. Part of the blood escaped through the 

 cervix and vagina to the exterior, and part remained behind 

 to undergo desiccation and to continue, like the better known 

 desiccated fetus, embedded in the hematoma, as an inert 

 body which may persist for months and years. The desic- 

 cated hematoma is a firm, doughy, black, tarry mass. When 

 the fresh specimen is incised, it is so sticky that it is diffi- 

 cult to push a knife through it merely because of its adhe- 

 siveness. Parts of the mass adhere to the knife and are 

 exceedingly difficult to wash away. It is virtually insoluble 



Fig. 178— Tesselated Hematoma in Right trterine Horn. 



V, Vagina ; U, uterine body ; 6", U', U', uterine horn ; O, ovary. 

 /, /, /, Hard tesselated masses closely packed together. 



