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478 interposition of the capsule. On the right side the liga- i mentum teres was found to be represented by a curious’ , leaf-like structure continuous with the cartilage, and having 1 no connexion with the acetabular cavity. On the opposite side destruction of the ligamentum teres had proceeded to a I lesser extent. These facts explained many recorded cases in which the ligamentum teres was said to be altogether 1 absent. In each case of the kind the extent to which the ligamentum teres underwent absorption was simply a i question of time. Had the girl lived a few years longer the 1 ligament would have appeared to be entirely absent, and I the dislocation attributed probably to its absence. In the majority of cases it was present, but undergoing I absorption. The other specimen was one which he had himself dissected, and it repeated all the phenomena of that of the case from Sir Patrick Dun’s Hospital. Dr. KILGARIFF exhibited a large Cervical Tumour re- moved by him from a young woman aged twenty-five. A similar growth had been removed from the same place six years before. It implicated the lower part of the ear, the ’face, and the ramus of the jaw, the side of the neck over- lapping the clavicle, and lying on the sheath of the carotid and deeply embedded in the parotid region. It became ulcerated six months before operation, and she became much reduced by the hsemorrhage from the ulcer. Photographs were shown of the patient before and after the operation, which proved very successful. Mr. Coppinger having ex- amined the growth, reported that it was encapsuled, and that the fresh section showed large translucent areas. Microscopically the sections presented the characters of myxomatous tissue. The outer parts were chiefly made up of lymphoid tissue. He considered it a lympho-sarcoma. Dr. J. W. MooBB exhibited some large Gall-stones. In 1882 he had presented to the Pathological Society a series of gall-stones which had been passed by an elderly woman after terrible suffering. A peculiar feature of the case was that there was very little icterus, explained probably by the remarkable faceting of the calculi. The calculi had been in his possession since last summer. The woman recovered perfectly. Dr. BARTON exhibited a specimen of Bowel Obstruction. The patient, an engine fitter, aged thirty-four, had suffered occasionally during six months from derangement of the digestive organs. He had no history of dyspeptic symptoms, but complained last summer of colicky pains after food, a peculiar pain across the abdomen with a sort of gurgling. These symptoms occurred at irregular periods, and in the interval he had good health. On Christmas Eve he had a severe attack of abdominal pain and obstinate constipation. For ten days he suffered from these symptoms, with partial obstruction, swollen abdomen, and peristalsis of the intestines, perceptible through the abdominal walls. He had occasional action of the bowels, produced by enemata, in which the excreta were of a soft character. When admitted into the Adelaide Hospital on the 5th inst., his abdomen was swollen, the chief point of pain being on the right side over the csecum. Pressure on the rest of the abdomen did not cause much pain. He appeared like a person suffering from strangulated hernia. He had a long drawn face, and vomited matter of a dis- tinctly faecal character. It was concluded he had intus- susception of the ileum to the large intestine at the ileo-caecal valve. The swelling had increased to such an extent as to account for the total obstruction which existed for three days. He was put under opiate treatment. Having gone pre- pared to operate, Dr. Barton found the patient had free action of the bowels, which was followed by a second after his arrival, the faecal matter being soft and fluid, evidently from the small intestine. The abdominal swelling andpainhaddiminished and the vomiting ceased, although he could not retain food. For the next five days the treatment was on the supposition of inflammatory obstruction, not an intussusception. He gained ground till three days ago, when the pain and vomiting returned, and, treatment availing nothing, it was determined to operate. Opening the abdomen as a tentative measure, to ascertain the pathological condi- tions, Dr. Barton made an incision from the umbilicus down- wards, and found that the parts about the csecal valves were not obstructed. The ileum was thickened and the cascum enormously distended, but there was no intussusception. At the transverse colon he discovered a hard mass with a hard band of lymph around it, about as thick as the little finger, and he divided it. Immediate relief followed. This i was only part of the diseased mass, and he excised a portion of the transverse colon and sewed the cut end of the ascending colon to the upper end of the wound, the rest of which he fastened up, so that the man, who was still alive, had got a false anus. The operation occupied two hours. Whether the man would survive or not was doubtful, the shock having been very great. The wall of the intestine was occupied by a mass which nearly filled the cavity, leaving passage barely for a quill pen. The fizzing noise which attended his temporary relief from pain and obstruc- tion months back was evidently caused by the passing of the liquid fasces through the opening. The obstruction was of the inflammatory kind, though the mass was exceedingly hard. It grated under the knife, and seemed of a fibrous character. The condition of the ileo-caecal valve was that of inflammatory thickening.-A discussion followed, in which the President, Dr. Warren, and Dr. Doyle took part; and Dr. Barton having replied, the section adjourned. CAMBRIDGE MEDICAL SOCIETY. AT the meeting on Feb. 6th, Dr. Bradbury in the chair, Dr. BOSWELL (Saffron Walden) related a case of Supposed Cerebellar Embolism. Early in May, 1884, he was called to see a patient, aged fifty, suffering from rheumatism, which shortly after assumed an acute form. The salicylic treatment was adopted and the disease checked, though not before an impurity of the heart’s first sound had become noticeable over the mitral and aortic areas. On June 7th she was able to sit up, and felt very well. Next day, while quietly resting in bed, she suddenly pressed her hands over her head and with a cry of terror fell over. She was conscious, but unable to articulate; the face was greatly flushed and somewhat swollen, the conjunctives were con- gested, the eyelids dropped, and the pupils much contracted and turned upwards. Nystagmuswas observable when the eyes descended. There were, moreover, very remarkable writhing movements, the patient all the while lying close to the bed and not raising herself from it in the least. There was no indication of any form of paralysis, either motor or sensory. The reflexes were exaggerated. Next day she was able to communicate her sensations. She was suffering from an overwhelming sense of vertigo, objects appearing to be whirling round her, not laterally, but from behind forwards on a vertical plane. The left pupil remained contracted for three weeks. She complained much of extreme photophobia, and consequently an ophthalmoscopic examination was not possible. Tinnitus aurium was also a marked feature. There was no evidence of inflammatory mischief, and the temperature was normal. The bloodvessels were healthy. In this condition of extreme prostration, with total inability to raise her head from the pillow, she remained for several months. Latterly she has improved somewhat, and has been able to sit up a short while each day, to occupy her time a little with reading and needlework, and to walk round her bed once or twice daily. But she is still unable to occupy any but a horizontal position except for a very short time, and the vertigo and other sensations are very easily produced, particularly by any change of character in the visual impressions-such, for instance, as viewing her room from a different standpoint, or occupying a couch of lower level than the bed she habitually occupies. The probable pathology of the case was discussed, and the view adopted of an embolus being impacted in one of the cerebral arteries, or in a branch of the posterior cerebral artery on the left side. The experiments of Flourens were referred to as indicating the results of injury to various portions of the cerebellum, and also as affording grounds for a favourable prognosis. Mr. W. R. POLLOCK showed a specimen of Fracture of Pelvis with Wound of Artery. The patient was fifty-six years old, and very stout; he was admitted into the hospital on April 9th, at 10.30 P.M. He had been knocked down by the buffer of a passing engine, but not run over; the blow was on the buttock. He was suffering great pain and was quite unable to walk, but his pulse was good and there was no sign of shock. He was put to bed without further examination, and he died about 5.30 A.M. on the following morning. The necropsy revealed a fracture of the pelvis and a spicule of bone penetrating the left internal iliac artery, causing internal hoemorrhage ; there was also fracture of two or three of the upper ribs on the left side. Mr. Pollock remarked on the absence of shock or collapse, and the long time the patient lived after the wound of a large artery. The hemorrhage was very gradual, although
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