﻿1875.] 
  its 
  relation 
  in 
  point 
  of 
  Time 
  to 
  Menstruation. 
  441 
  

  

  six 
  days 
  after 
  the 
  cessation 
  of 
  the 
  catamenia. 
  On 
  the 
  surface 
  of 
  the 
  

   right 
  ovary 
  was 
  a 
  small 
  cicatrix, 
  beneath 
  which 
  was 
  a 
  corpus 
  luteum 
  

   with 
  the 
  following 
  characters 
  : 
  — 
  It 
  was 
  of 
  an 
  irregular, 
  elongated 
  shape, 
  

   nearly 
  \ 
  inch 
  in 
  length 
  and 
  \ 
  in 
  width 
  ; 
  had 
  thick, 
  yellow, 
  convoluted 
  

   walls, 
  and 
  enclosed 
  a 
  small 
  whitish 
  mass, 
  in 
  which 
  were 
  two 
  dark- 
  

   coloured 
  spots, 
  which 
  were 
  evidently 
  the 
  remains 
  of 
  a 
  clot. 
  This 
  ovary 
  

   contained 
  also 
  a 
  Graafian 
  follicle 
  of 
  the 
  size 
  of 
  a 
  small 
  pea. 
  The 
  deter- 
  

   mination 
  of 
  the 
  age 
  of 
  effused 
  blood 
  is 
  always 
  difficult. 
  In 
  the 
  Graafian 
  

   follicle 
  which 
  becomes 
  ruptured 
  without 
  impregnation 
  taking 
  place 
  it 
  is 
  

   known 
  that 
  certain 
  definite 
  changes 
  occur 
  ; 
  the 
  wall 
  of 
  the 
  vesicle 
  becomes 
  

   thick, 
  yellow, 
  and 
  convoluted; 
  the 
  blood 
  which 
  flowed 
  into 
  it 
  and 
  filled 
  

   it 
  becomes 
  decolorized 
  and 
  absorbed. 
  The 
  exact 
  length 
  of 
  time 
  in 
  which 
  

   -these 
  changes 
  in 
  the 
  follicle 
  are 
  brought 
  about 
  is 
  not 
  accurately 
  deter- 
  

   mined, 
  but 
  it 
  is 
  known 
  that 
  the 
  corpus 
  luteum 
  of 
  one 
  menstruation 
  has 
  

   become 
  considerably 
  atrophied 
  by 
  the 
  return 
  of 
  the 
  next. 
  

  

  It 
  appears 
  to 
  me 
  that 
  the 
  yellow 
  body 
  in 
  the 
  last 
  example 
  of 
  this 
  group 
  

   was 
  considerably 
  older 
  than 
  the 
  two 
  preceding 
  ones, 
  and 
  that 
  it 
  was 
  more 
  

   than 
  a 
  fortnight 
  old, 
  and 
  that 
  the 
  two 
  preceding 
  ones 
  were 
  from 
  eight 
  to 
  

   ten 
  days. 
  

  

  B. 
  Cases, 
  four 
  in 
  number, 
  in 
  which 
  a 
  Graafian 
  follicle 
  had 
  been 
  ma- 
  

   tared, 
  and 
  haemorrhage 
  had 
  taken 
  place 
  into 
  its 
  cavity, 
  but 
  no 
  actual 
  

   rupture 
  had 
  occurred. 
  

  

  (1) 
  The 
  first 
  case 
  was 
  a 
  patient 
  who 
  died 
  of 
  pyaemia 
  in 
  the 
  third 
  week 
  

   after 
  the 
  cessation 
  of 
  the 
  last 
  catamenial 
  flow. 
  The 
  left 
  ovary 
  contained 
  

   a 
  follicle 
  f 
  inch 
  in 
  diameter, 
  distended 
  by 
  a 
  recent 
  non-adherent, 
  softish 
  

   coagulum, 
  uniform 
  in 
  consistence 
  and 
  colour. 
  This 
  follicle 
  was 
  pro- 
  

   minent 
  above 
  the 
  adjacent 
  surface 
  of 
  the 
  ovary 
  ; 
  and 
  its 
  superficial 
  wall 
  

   was 
  thick, 
  and 
  presented 
  no 
  tendency 
  to 
  point 
  or 
  rupture. 
  There 
  was 
  

   no 
  recent 
  rupture 
  to 
  be 
  seen 
  on 
  the 
  surface 
  of 
  either 
  ovaiy. 
  

  

  (2) 
  The 
  second 
  example 
  was 
  a 
  woman 
  who 
  had 
  undergone 
  an 
  opera- 
  

   tion 
  for 
  fistula 
  in 
  ano. 
  The 
  monthly 
  flow 
  made 
  its 
  appearance 
  a 
  week 
  

   before 
  the 
  expected 
  time 
  for 
  its 
  return, 
  and 
  she 
  died 
  five 
  days 
  after. 
  One 
  

   ovary 
  contained 
  a 
  follicle 
  measuring 
  -J 
  inch 
  by 
  | 
  inch 
  ; 
  this 
  follicle 
  con- 
  

   tained 
  a 
  bright 
  red, 
  fresh, 
  loose 
  clot, 
  and 
  its 
  walls 
  were 
  thin 
  and 
  not 
  

   corrugated. 
  From 
  these 
  characters 
  it 
  appears 
  that 
  the 
  haemorrhage 
  into 
  

   the 
  follicle 
  had 
  taken 
  place 
  but 
  a 
  short 
  time 
  before 
  death. 
  

  

  (3) 
  The 
  next 
  was 
  a 
  patient 
  who 
  had 
  undergone 
  an 
  operation 
  for 
  

   the 
  removal 
  of 
  an 
  ovarian 
  tumour. 
  She 
  died 
  a 
  fortnight 
  after 
  the 
  opera- 
  

   tion, 
  when 
  she 
  had 
  menstruated 
  for 
  one 
  day. 
  At 
  the 
  inner 
  extremity 
  of 
  

   the 
  left 
  ovary 
  was 
  a 
  large, 
  dark-coloured, 
  softish 
  mass, 
  which, 
  on 
  section, 
  

   proved 
  to 
  be 
  a 
  Graafian 
  follicle 
  containing 
  a 
  brick-red-coloured 
  clot, 
  which 
  

   appeared 
  to 
  be 
  of 
  a 
  spongy 
  texture. 
  It 
  could 
  with 
  difficulty 
  be 
  turned 
  

   out 
  of 
  the 
  sac. 
  After 
  its 
  removal 
  it 
  was 
  seen 
  that 
  the 
  wall 
  of 
  the 
  sac 
  

   was 
  formed 
  by 
  a 
  thin 
  yellowish 
  substance. 
  

  

  (4) 
  The 
  last 
  example 
  in 
  this 
  group 
  was 
  a 
  person 
  who 
  suffered 
  with 
  

   fibroid 
  tumour 
  of 
  the 
  uterus. 
  She 
  died 
  on 
  the 
  third 
  or 
  fourth 
  day 
  of 
  the 
  

  

  