FATAL HÆMORRHAGE INTO AN OLD OVARIAN CYST

Abstract

recti muscles. On the day before she died she vomited blood largely, wih she i to o in lesser quantities, blood also passmg from the bowels, until she died, death being clearly the immediate consequence of the loss of blood. On examination of the body aftr death, a large deeply eooavated ulcer was found in the postenror w of the losr curvature of the stomach. The walls of the ulcer were very much thickened, but, as I believe, not with malignant deposit, but simply an interstitial deposit of lymph, the reslt of a permanent condition of low inflammatory action. The other organs were all healthy, merely blanched by reason,of the manner of death. BaxkRnB} The point of interest in this case, consists in the interval of four years of perfect health occurring between the two periods of disease which I have described. I think the evidence well nigh complete, that this young woman uffered from ulceration of the stomach eight years ago. I think there can be little doubt that the ulcer under wMch she then suffered cicatrised, for it would be difficult to believe that she continued for four years in the enjoymeat of good health, free from stomach derangement, with all the time an open ulcer in her sbomach. Then, from cme cause, acting on her general healzh, probably her sedentay life and confinement to heated rooms, as an attendant on an invalid, the old cicaLtrix became the seat of fresh ulceration which proceeded unchecked until its termination in fat halmorr age. The autopsy sufficiently explained the -absence of objective evidence of disease, as the thickened part of the stomach was overlapped by a portiou of the liver.