. The Richmond and Louisville medical journal. In 1871 Prof. Hecker ablated the pear-shaped portion, andwhen Prof. Czerny took charge of the clinic several monthsafterwards, the tumor presented the appearance as represented LYMPH CHANNELS. 161 in fig. 47. The skin was sallow, yellowish, muscular tissue flaccid,subcutaneous tissue rather fatty. The remaining portion of thetumor had increased considerably, and did not present itself asa sac-like elongation of the skin, but was very firm. The skinwas firmly adherent, darkly pigmented, somewhat retracted atthe seat of the operation, and granulatin
. The Richmond and Louisville medical journal. In 1871 Prof. Hecker ablated the pear-shaped portion, andwhen Prof. Czerny took charge of the clinic several monthsafterwards, the tumor presented the appearance as represented LYMPH CHANNELS. 161 in fig. 47. The skin was sallow, yellowish, muscular tissue flaccid,subcutaneous tissue rather fatty. The remaining portion of thetumor had increased considerably, and did not present itself asa sac-like elongation of the skin, but was very firm. The skinwas firmly adherent, darkly pigmented, somewhat retracted atthe seat of the operation, and granulating. Upon the surface FlGUEE of the tumor were several fistulous canals, from which was dis-charged a thin serum, mixed with pus flakes. The fluid, oftensecreted in large quantities, was clear, albuminous, containedlymph corpuscles, coagulated readily and spontaneously. made several ineffectual efforts to reduce the patient died March, 1873.—Amer, Jour, of Obstetrics. 162 CLINICAL RECORDS. CLINICAL RECORDS. Ex principiis, nascitur probabilitas: ex factis, vero Veritas. Clinical Gynecology. By W. H. Wathen, M. D., ClinicalLecturer on Diseases of Women and Children, LouisvilleMedical College; Surgeon to Female Department LouisvilleCity Hospital. Case III.—Successful Operations for Procidentia and Cysto-cele.—September 1, 1877, I saw Mrs. Spangler, a Germanwoman, a widow, aged forty-nine. Menstruation began atthirteen, was natural and continued until forty-five. She hashad no disease except of the genital organs. She married atnineteen, and has had five children: one prematurely born atse
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