Diseases of women and abdominal surgery . iends were satisfiedas to her perfect recovery, and were as grateful as people couldbe for the improvement in the patients condition. The descri[)tion of the ovaries by my friend, Mr. Alban Doran,completely justities my view of the pathology of the case, and mytreatment is but a logical conclusion from tliat view. After suchan operation one would expect that the fits would continue fclr afew months, and gradually disappear. But here they havedisappeared at a blow, and, after nearly three months absence,I think they may be expected to have finally disap
Diseases of women and abdominal surgery . iends were satisfiedas to her perfect recovery, and were as grateful as people couldbe for the improvement in the patients condition. The descri[)tion of the ovaries by my friend, Mr. Alban Doran,completely justities my view of the pathology of the case, and mytreatment is but a logical conclusion from tliat view. After suchan operation one would expect that the fits would continue fclr afew months, and gradually disappear. But here they havedisappeared at a blow, and, after nearly three months absence,I think they may be expected to have finally disappeared. The ovaries removed were not much smaller than normalovaries, but they were fissured in a most remarkable manner, soas to resemble in miniature the kidneys of an ox, or the convolu-tions of the human brain. I sent one up to the College of SurgeonsMuseum, and I quote from Mr. Dorans report upon it, asfollows:— There are no signs of alveolar degeneration, but theelongated cells of the stroma are laroer than in normal ovaries, and. Fig. 50 (drawn by Mr. Alban Doran).—Microscopic appearances ofcirrhotic ovary, masnifiert diameters : a, normal arteriole ; 6, smallvessel occluded ; c. c, delins. probably site of vessels occluded bypressure of new cellular tissue. 23 354 EXANTHEMATIC CIRRHOSIS there are few vessels; the hypertrophy of those that remain, andthe bundles of fibrous tissue, point to a cirrhotic change followingthe exanthematic oophoritis. There were no morbid cysts, norextravasation of blood; no pathological breaking down. Therewere two Graafian vesicles, each about one-twentieth of Un inch indiameter, both close to the surface, the periphery of the ovarybeing slightly denser than the deeper stroma, to the depth of one-eighth of an inch. jSTear the inner extremity of the ovary is amenstrual corpus luteum which makes a distinct bulge on thesurface. As I have said, the appearances presented by the pelvic organsin these cases of advancing atrophic change of
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