﻿440 
  Dr. 
  J. 
  Williams 
  on 
  the 
  Discharge 
  of 
  Ova, 
  and 
  [May 
  27, 
  

  

  (1) 
  The 
  first 
  of 
  these 
  was 
  a 
  young 
  girl 
  who 
  died 
  through 
  the 
  effects 
  

   of 
  a 
  fall, 
  three 
  or 
  four 
  days 
  before 
  the 
  expected 
  return 
  of 
  the 
  catamenia. 
  

   In 
  the 
  left 
  ovary 
  was 
  a 
  recently 
  ruptured 
  Graafian 
  follicle. 
  The 
  cavity 
  

   of 
  the 
  follicle 
  was 
  about 
  | 
  inch 
  in 
  diameter, 
  and 
  contained 
  a 
  recent 
  clot, 
  

   which 
  projected 
  slightly 
  through 
  the 
  rupture 
  ; 
  the 
  clot 
  was 
  of 
  a 
  fresh 
  red 
  

   colour, 
  nowhere 
  adherent 
  to 
  the 
  parts 
  around, 
  for 
  on 
  makiug 
  a 
  section 
  

   through 
  the 
  follicle 
  it 
  fell 
  out. 
  The 
  wall 
  of 
  the 
  vesicle 
  was 
  of 
  a 
  pale 
  

   yellowish 
  colour, 
  and 
  slightly 
  wrinkled. 
  The 
  rupture 
  had 
  evidently 
  taken 
  

   place 
  a 
  short 
  time 
  only 
  before 
  death. 
  

  

  (2) 
  The 
  second 
  subject 
  was 
  a 
  woman 
  who 
  died 
  suddenly 
  through 
  a 
  fall, 
  

   probably 
  a 
  fortnight 
  after 
  the 
  cessation 
  of 
  the 
  last 
  menstrual 
  flow. 
  On 
  

   examination 
  a 
  considerable 
  quantity 
  of 
  blood 
  was 
  found 
  in 
  the 
  cavity 
  of 
  

   the 
  peritoneum, 
  and 
  the 
  liver 
  was 
  torn. 
  In 
  the 
  left 
  ovary 
  was 
  a 
  rup- 
  

   tured 
  follicle, 
  with 
  corrugated 
  and 
  collapsed 
  walls 
  ; 
  its 
  cavity 
  contained 
  

   no 
  blood, 
  bat 
  there 
  was 
  a 
  slight 
  effusion 
  between 
  its 
  lining 
  membrane 
  

   and 
  its 
  outer 
  coat. 
  The 
  depth 
  of 
  the 
  follicle 
  from 
  the 
  rupture 
  to 
  the 
  

   furthest 
  point 
  of 
  the 
  opposite 
  wall 
  measured 
  nearly 
  -J 
  inch. 
  It 
  is 
  not 
  

   impossible 
  that 
  this 
  follicle 
  was 
  ruptured 
  somewhat 
  prematurely 
  by 
  the 
  

   shock 
  of 
  the 
  fall. 
  

  

  (3) 
  The 
  next 
  example 
  was 
  observed 
  during 
  life. 
  Mr. 
  Christopher 
  

   Heath 
  performed 
  ovariotomy 
  on 
  a 
  patient 
  on 
  the 
  fourteenth 
  day 
  after 
  

   the 
  cessation 
  of 
  the 
  last 
  catamenial 
  discharge. 
  Menstruation 
  lasted 
  

   usually 
  three 
  days, 
  and 
  the 
  patient 
  had 
  always 
  been 
  regular 
  every 
  four 
  

   weeks. 
  In 
  the 
  ordinary 
  course 
  of 
  things 
  the 
  next 
  flow 
  would 
  have 
  

   appeared 
  in 
  eleven 
  days. 
  When 
  the 
  diseased 
  ovary 
  had 
  been 
  removed, 
  

   the 
  remaining 
  one 
  was 
  raised 
  up, 
  with 
  a 
  view 
  to 
  see 
  if 
  it 
  were 
  healthy, 
  

   and 
  it 
  was 
  observed 
  that 
  it 
  contained 
  an 
  enlarged 
  Graafian 
  follicle, 
  

   which 
  became 
  ruptured 
  when 
  being 
  held 
  in 
  the 
  hand. 
  I 
  ought 
  to 
  add 
  

   that 
  the 
  flow 
  returned 
  three 
  days 
  after 
  the 
  operation, 
  and 
  eight 
  days 
  

   before 
  it 
  was 
  due. 
  

  

  (4) 
  The 
  next 
  case 
  was 
  a 
  young 
  woman 
  who 
  died 
  of 
  pleurisy 
  on 
  the 
  

   fifth 
  day 
  of 
  menstruation. 
  On 
  the 
  surface 
  of 
  the 
  left 
  ovary 
  was 
  a 
  rough, 
  

   brownish-coloured, 
  star-like 
  cicatrix. 
  On 
  section 
  there 
  was 
  seen 
  under 
  

   the 
  cicatrix 
  a 
  corpus 
  luteum, 
  dilated 
  in 
  the 
  middle 
  and 
  narrow 
  at 
  both 
  

   ends, 
  nearly 
  j- 
  inch 
  in 
  length 
  and 
  \ 
  inch 
  in 
  width 
  ; 
  its 
  walls 
  were 
  in 
  

   some 
  parts 
  of 
  a 
  pinkish 
  and 
  in 
  others 
  of 
  a 
  yellowish 
  colour, 
  slightly 
  if 
  

   at 
  all 
  thicker 
  than 
  those 
  previously 
  mentioned, 
  and 
  had 
  small 
  promi- 
  

   nences 
  on 
  its 
  inner 
  surface. 
  In 
  the 
  centre 
  was 
  a 
  partially 
  decolorized 
  

   clot, 
  which 
  was 
  but 
  slightly 
  adherent 
  to 
  the 
  surrounding 
  walls. 
  From 
  

   these 
  characters 
  it 
  is 
  evident 
  that 
  the 
  rupture 
  of 
  the 
  follicle 
  had 
  taken 
  

   place 
  several 
  days 
  before. 
  

  

  (5) 
  The 
  fifth 
  member 
  of 
  this 
  series 
  was 
  a 
  patient 
  who 
  died 
  on 
  the 
  

   fourth 
  day 
  of 
  menstruation, 
  and 
  about 
  the 
  ninth 
  of 
  typhoid 
  fever. 
  One 
  

   ovary 
  contained 
  a 
  corpus 
  luteum 
  similar 
  to 
  the 
  one 
  just 
  described. 
  

  

  (6) 
  The 
  last 
  example 
  occurred 
  in 
  a 
  young 
  girl, 
  who 
  died 
  of 
  pneumonia 
  

  

  