The American journal of the medical sciences . ectum. I and J. Labia majora and Right genito-crural Meatus urinarius. M, M. Anterior and posterior walls of vagina. N, N, JN. Opening made through outer wall oftumour to show the relations of the partswithin. 0. Os uteri. P. Base of the bladder forming part of the tu-mour. Q, Q. Elongated and hypertrophied cervix uteri. Q, Q. Outline of lower part of bladder. R. Body of uterus also elongated. S, S. Dotted line showing the course of the inci-sions. T. Perineum. U. Anus. The accompanying wood-cuts (Figs. 1 and 2) are copied from t
The American journal of the medical sciences . ectum. I and J. Labia majora and Right genito-crural Meatus urinarius. M, M. Anterior and posterior walls of vagina. N, N, JN. Opening made through outer wall oftumour to show the relations of the partswithin. 0. Os uteri. P. Base of the bladder forming part of the tu-mour. Q, Q. Elongated and hypertrophied cervix uteri. Q, Q. Outline of lower part of bladder. R. Body of uterus also elongated. S, S. Dotted line showing the course of the inci-sions. T. Perineum. U. Anus. The accompanying wood-cuts (Figs. 1 and 2) are copied from the workof M. Huguier, and are as good a representation of the present case asif taken from the actual subject—with this exception, that in Fig. 2,which represents the front view of the tumour, the anterior lip of the osuteri projected considerably beyond the lower so as to hide the ulceration described was on the lower and back part of the tumournear the end. 1864.] Warren, Hypertrophic Elongation of the Cervix Uteri. 21 Fig. A, Projection made by the bladder tlirough, the 1 C. Mucous discharge from os. anterior wall of vagina. D. Posterior and superior wall of vagina brought B. Os uteri. ! down by the tumour. In connection with this case, the following one of hypertrophic elongationof the cervix, and enlargement of the os uteri, together with fibrous tu-mours of the body of the organ, is not without interest:— A widow lady, 48 years old, and the mother of one child, came undermy care at the Massachusetts General Hospital on the 16th of May, years ago she discovered a small tumour in the left side of the ab-domen, which gradually increased in size, and was attended with a sensationof weight and bearing down, but without acute pain. Fourteen years agoshe had a paralytic attack of the left side of the body, from which shepartially recovered. Profuse flooding had occurred several times duringthe four or five months immediately preceding her admissi
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