36i Report of the 'City and Finshiry Dispensaries. 



From the egth to the 31st she was much better. On the 

 31st she sat up in bed, and seemed inclined to haye the ope- 

 ration performed. The medicines were repealed. 

 Nov. 3. — Pulse So, and regular. 



8. She appeared much better, and seemed to be desirous 

 of" having the operation performed. 



10. — About ten o'clock this morning she was more un- 

 easy, and sat up sometime. On going to bed she slept some 

 hours. Her voice had changed, and her eyes had assumed 

 a. different appearance. She continued uneasy until about 

 two o'clock P. M. when she died. 



12. The body was examined in presence of Dr. Squire^ 

 Dr. Lidderdale, Mr. Grove, Mr. Taylor, and myself. 



We were informed by her friends, that she had been mar- 

 ried two years, but never had anv children. She was thought 

 to have been pregnant at the commencement of the disease. 

 The tumour was encysted, and reached close to the scrobi- 

 culus cordis ; the surface was irregular, and bore marks of 

 recent inflammation. The omentum adhered to the upper 

 and anterior surface. 



About four quarts of a glary fluid was found external to 

 the tumour at the upper part, with a considerable quantity of 

 purulent matter. The viscera were obscured by the tumour* 

 except a small part of the omentum and colon to which it 

 was attached. The diaphragm was raised so high that its 

 convex part reached to the third true rib, and the superior 

 part of the liver and stomach were opposite to the fourth 

 true rib, so that a very small space was left in the cavity of 

 the thorax for the action of the lungs. 



The tumour consisted of several cysts, from the largest of 

 which about eight quarts of a glary tenacious fluid were 

 taken". One of the smaller cysts contained a fluid as limpid 

 as water. Others contained a glary and Jilrous substance, 

 t^hich could scarcely be pressed from the surrounding parts, 

 large irregular masses were observed, part of them in a state 

 of suppuration. 



Over the anterior part of the tumour, and on the right 

 side a thick opaque substance was expanded, which, on dis- 

 **ction, proved to be the uterus, but so changed in its 



structure 



