BIRMINGHAM AND MIDLAND HOSPITAL FOR WOMEN.

473 no accident occurring, and no cervix. This soon declared itself to be in a suppurating opaque matter remaining in the pupil. Atropine was in- cavity, and the track of the needle was followed by a bisstilled, and a pad and bandage applied. She slept well, and toury, by which an incision, free enough to admit the finger, the eye was dressed the next morning, but not opened. was made. A wide drainage-tube was fixed in, and the Atropine was again instilled. Two days afterwards she got. patient was kept in bed for a few days. No symptoms of up, and one eye was uncovered. The left eye was looking disturbance followed the operation, and the patient left the very well. Her appetite was good, her bowels regular, and hospital in about ten days. She wore the drainage-tube for she slept well. She suffered no pain at all after the ope- about two months, during which time she resided in the ration. The wound healed early, and she was discharged country. twelve days after her admission, with a perfectly clear The discharge from the rectum ceased about a month pupil. Three weeks afterwards, with convex 3 in. V=20/30 ;; after the operation. In February, 1873, she had almost with convex 2 in. she read No.3! Snellen. recovered her health, and the vaginal wound had nearly CASE 8. Traumatic cataract; extraction. E. B-, agedt closed. In February, 1875, she presented herself, but she sixty, was cutting wood five months ago, when a chip flewr looked so ruddy and so well that she could hardly be identiup and struck his left eye. His right had been lost some. fied as the same woman. The uterus is still the centre of years previously. The anterior capsule of the lens was a mass, but it is not a fourth of its original size, and it ruptured, and the iris was adherent to it below. V=20/200 ;; moves with a fair amount of freedom. can read No. 20 at 6 in. Mr. Power performed a modified linear operation downwards. No vitreous escaped. A black patch of uvea was found on the lower margin of the lens, showing where the iris had been adherent to it. Atropine was instilled, and a pad and bandage applied. AE he seemed restless, thirty grains of chloral hydrate werE given him at night. He slept well, and had no pain thE ROYAL MEDICAL AND CHIRURGICAL SOCIETY. next day. On the third day it was dressed for the firsi time. The wound had healed. There was some soft matte:) THE meeting of this Society on the 23rd instant was in the pupil, and slight pain and inflammation in the eye occupied by a paper by Mr. WALTER RivINGTON ’* On a which, however, soon subsided. Ten days afterwards mos1 of the opaque matter had been absorbed, but a small piece 01 Case of Pulsating Tumour of the Left Orbit, consequent capsule remained in the pupil. Sixteen days after the ope. upon a fracture of the base of the skull, cured by ligature ration he was discharged with very good vision. When hI of the left common carotid artery, subsequently to injection again appeared, three weeks afterwards, V=14/20 with 4t in of perchloride of iron, after digital compression and other convex lens, and with 2 in. convex he could read No. means of treatment had failed; with Remarks and an Snellen. CASE 9. Senile cataract; extraction. J. B-, age( Appendix containing a chronological table, and a résumé of a had cataract of three seventy-one, years’ duration in the the recorded cases of intra-orbital aneurism." The author left eye, and one of seven months’ in the right. Mr. Powe prefaced the narrative of the case with an historical résumé made a flap of half the circumference of the cornea wit] of the views and observations placed on record by previous Beer’s knife, and extracted the left lens without any diffi writers. The first known case was described Mr. Travers culty. No chloroform was given; no iridectomy made; n in 1809, as a case of aneurism anastomosis; by and the second by speculum used; no vitreous escaped. After the operation Mr. in under same the 1812, the pupil was round, central, and clear. The eye was ex by designation. Dalrymple, amined daily, and the wound had healed by the fifth day Notwithstanding the observation of Guthrie,in 1823,of a case No unfavourable symptom occurred, and she went ou in which similar symptoms existing on both sides were shown thirteen days after the operation. A fortnight afterward by post-mortem evidence to have resulted from an aneurism she again appeared, having suffered from an attack of con each ophthalmic artery within the orbit, the views of junctivitis, and the pupil was not quite clear. At tha of Travers were generally adopted for many years as extime, with convex 2½ inches she read No. 6 ; with conve 4 V=5/100 . She has not been seen since. planatory at least of the idiopathic cases of intra-orbital aneurism. Mr. Busk, in 1835, met with a case which arose BIRMINGHAM AND MIDLAND HOSPITAL FOR gradually after a fracture of the base of the skull, and was able to cite the prior case of a boy under the care of Mr. WOMEN. Scott, in 1834, at the London Hospital, in which protrusion CASE OF LARGE PELVIC HÆMATOCELE SUPPURATING AND and pulsation of the eyeball supervened after an injury to DISCHARGING THROUGH THE RECTUM ; COUNTERhead occasioned by a fall into a ship’s Hold, and in the OPENING FROM THE VAGINA ; RECOVERY. which the subsequent occurrence of violent arterial bmmor(Under the care of Mr. LAWSON TAIT.) rhage from the nose rendered it necessary for Mr. Scott to H. T-, aged thirty-one, dated her illness from the age ligature the carotid, a cure resulting. Mr. Busk combated of nineteen, when she had been chilled by immersion in the views of Travers, and advocated the view that his own cold water while menstruating. The discharge ceased sud- case, and previous ones, had been cases of ordinary denly, and had never reappeared, but seemed to be replaced aneurisms affecting the ophthalmic artery within the orbit. by a profuse leueorrhoea. She had been a long time undei His paper had a marked influence on subsequent observers, the care of various practitioners without any benefit, and as might be judged from the fact that M. Petrequin, Mr. had become very exsanguine, emaciated, and feeble, suffered from night-sweats and general hectic symptoms. She came Curling, M. Bourquet, M. Legouest, Mr. Zachariah Laurence, under treatment in May, 1872, and had noticed a weels 1VI. Gioppi, Dr. Morton, and Dr. Schmid of Odessa, all diapreviously that with every motion there came a quantity oj. gnosed their cases as examples of aneurism of the ophthalmic purulent discharge. The uterus was found to be imbedded artery; whilst M. Demarquay, Mr. Nunneley, Mr. Jos. Bell, in a mass which was slightly movable in the pelvis, and ex. and others, whohave successfully opposed theviewof Travers, ploration by the sound discovered that its cavity was norma, have repeated, with reinforcements of their own, Mr. Busk’s in size and direction. In the rectum a small boggy de. pression was found just within reach of the finger, and this arguments. To Mr. Nunneley was due the chief credit of£ first directing forcibly the attention of pathologists in was diagnosed to be the point of aperture of a large, sup purating, peri-uterine, and extra-peritoneal pelvic hæma. England away from the orbit to the vessels lying behind it, tocele. After having had an explanation of her condition and he showed, from post-mortem observations in two out of and its probable fatal ending, she readily consented to th< six cases which he had met with, that the symptoms might operation advised, and was admitted as an in-patient ii be due to an aneurismal affection of the internal carotid July, 1872. She was placed under chloroform, and Mr. Tait passeda artery in the cavernous sinus, or an aneurism of the ophlong aspirator needle into the tumour close behind the2 thalmic artery within the skull. The record of Mr.

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