. American journal of obstetrics and gynecology. ,.—S., No. 26716, occluded, age twenty-eight years; married ten years, neverpregnant. Spermatozoa not examined. Uterus small, retrocessed, adnexa negative. Figs. S, 9, 10, and 11.—Uterine cavity 4 cm. by cm. (nediuni size)—tubes ap-parently hang low on the broad ligaments and parallel with the axis of the uterus;hence are prolapsed. Each tube is open at its isthmus. The riglit tube has a longslender canal and may also liave an accessoiT canal. The left tube is very probablya hydrosalpinx. Diagihosis.—Left hydrosalpinx. Occlusions


. American journal of obstetrics and gynecology. ,.—S., No. 26716, occluded, age twenty-eight years; married ten years, neverpregnant. Spermatozoa not examined. Uterus small, retrocessed, adnexa negative. Figs. S, 9, 10, and 11.—Uterine cavity 4 cm. by cm. (nediuni size)—tubes ap-parently hang low on the broad ligaments and parallel with the axis of the uterus;hence are prolapsed. Each tube is open at its isthmus. The riglit tube has a longslender canal and may also liave an accessoiT canal. The left tube is very probablya hydrosalpinx. Diagihosis.—Left hydrosalpinx. Occlusions occur in both fimbriae. Case 4.—F. W., No. 2oo24, occluded ago thirty-five years, married four years,liad a dilatation and curettage two years ago—never pregnant. Spermatozoa nu-merous, nonmotile. (Specimen unsatisfactory.) Radiogram.—(V\g. 12) Uterus small, no shadow of left tube—low shadow of theright fimbria. KKXXEDY: RADIIKIKAIIIY OF CLOSED FALLOPIAX TrUKS 19 ?^ ^^n^^^^^^^^^^^^^^^H. 20 THE AMERICAN JOIKXAL OP OBSTETRICS AXD GYNECOLOGY —Uterus , left istlinuis oeclinleil, liglit tube ipiulapscd, right fim-bria occluded. Case 3.—C. W., No. 26966, occluded, age twenty-seveu years, married five years,husband had two children by his first wife; patient was told she had salpingitis eightyears ago. Has had a vaginal discliarge for two years. Uterus small, antertcxed, re-trocessed adnexae negative. Eadiogram.— (Kg. 13.) Uterus small, the axis of the body of the uterus makes anacute angle with tlie canal of the cervix. Xo right tube visible. A blurred ampullaof the left tube appears with a small canal leading to the uterine cavity. Eadiogram.—Three weeks later, no shadow. Diagncsis:—Anteflexion of the uterus; right isthmus occluded, left fimbria occluded. Operative Diagnosis.—S/S/22. The right tube was closed at its fimbria, the fimbriabeing turned down and attached to the posterior wall of the broad ligament by a


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