drawn off in a very weak and diminutive stream, but subsequently
the quantities brought away on each occasion were
very trifling.
On examination after death, evidences of intense peritoneal
inflammation were discovered, particularly in the hypogastric
region, in which locality there lay about a pint and a half of
urine. The bladder, as exhibited in the preparation, is but
moderately contracted; the rent is about an inch and half
long, and traverses the posterior wall, obliquely downwards,
and towards the right side; its lips are tumid, and in tolerably
close apposition. (See Dub. Med. Jour. Vol. ix).—
Prof. Harrison.
F. c. 697. Procidentia uteri, with eo-existing displacement of
the neighbouring parts : a globular tumor, as large as a melon,
and furnished with a kind of neck superiorly, projects from
between the labia pudendi, and hangs down to a considerable
distance, presenting at the lower extremity the os tincse, much
contracted and changed in shape, and at the upper part the
orifice of the urethra. The tumor is composed externally of
the inverted vagina, which, by its protrusion, forms a kind of
sac, open towards the abdomen, and containing within it both
the bladder and uterus ; the latter lies almost horizontally in
the cavity, and has undergone little alteration either in size or
shape, while the superior fundus of the former has fallen far
below the cervix vesicte; consequently, the urethral canal is
elongated and runs almost perpendicularly downwards. The
vaginal mucous membrane is thickened, corrugated and partially
covered with scattered patches of cuticle; the labia ma-
jora and neighbouring folds are almost wholly obliterated. The
rectum occupied its usual situation, and was not in any way
involved.
The tumor, while in situ, was capable of being reduced with
facility, but quickly re-appeared on the pressure being removed.—
W. ParHnson, Esq.