had been about one month in developing.

There was at no

time any considerable amount of subjective symptoms, and the patient who was a seamstress continued her work. At the end of the second month many blood-vessels had formed in the deep layers of the cornea, and coincident with this vascularization the infiltration began rapidly to disappear. The patient was discharged well in five months from the beginning of the trouble with vision equal 20/xx.

Case 4.-Miss S. S., æt. thirty-two, came in August, 1895, with a deep-seated infiltration of the left cornea. The opacity was central toward the nasal side and gradually faded into the transparent cornea. All the subjective symptoms were quite severe and persistent though the opacity did not increase in extent. No improvement was apparent for several months though she made a good recovery and was dismissed in ten months with vision under atropine equal 20/xx w 1.00 sph◇ + 50 cyl ax at 45 degrees.

Case 5.-Master Frank T., æt. twelve, was brought in April, 1896, with punctated spots of inflammatory deposit over the entire cornea of the left eye, the intervening spaces being hazy. There was much circumcorneal congestion, photophobia, lachrymation and pain. The condition.had been developing during several weeks. Two months after I saw the patient the opacity was very much less and the subjective symptoms had subsided. The right eye now became involved and ran a course similar to that of the left one. The patient was dismissed in nine months with normal vision in either eye.

Case 6.—Mary L., mulatto, æt. eighteen, came in May, 1896, with the entire cornea of the right eye densely opaque. It was with difficulty that the pupil could be seen even with focal illumination. There was considerable iritis and the pain, lachrymation, and photophobia were extreme. In three weeks the left eye was in a similar condition.

The

patient was most comfortable with a thick protective bandage over both eyes. She had to be led from place to place. In six or eight weeks improvement began and progressed very rapidly until the subjective symptoms were quite all gone and only a milky film was left as a remains of the opacity. In this condition, six months after I first saw the patient, she passed from under my observation.

Case 7.—J. W. H., æt. twenty-four, came 15th of November, 1896, complaining of "weak eyes." A moderate amount of photophobia, pain, lachry.nation and circumcorneal injection had been developing during two or three weeks. Gave a specific history dating back three years. In another ten days there was a double iritis and deep-seated spots of infiltration in both corneæ. In a short while the iritis subsided and soon thereafter the corneal opacity began to disappear. The acme of the disease was reached sooner in the right eye than in the left. Five months after the first symptoms, the right eye is normal in appearance and only a milky film of the opacity remains. This is the only one of the seven cases reported that has an acquired specific history.

20

[NOTE.-Case 7 was dismissed well, May 15, 1897, with vision under atropine equal in the right eye and in the left eye, with 2.00 sph +75 cyl ax at 90 degrees in front of either eye.]

XX

XXX

REPORT OF CASE OF EXTRA-UTERINE

PREGNANCY.

BY JOHN R. SHANNON, A.B., M.D., CABANISS, GA.

I report this case because of the rarity of such cases and the peculiar conditions and the very happy results of the operation. I will give the history of the case as obtained from the woman and the midwife exactly as they reported it to me.

Susie; aged twenty years; married at fifteen years of age; mother of four children, three dead and one living. The operation was in the spring of 1896. One year before the operation, she was taken with severe labor pains; the patient said it was her expected time. It was on Saturday night. The midwife remained with her until late the following Sunday night. A physician was called Sunday morning. The doctor did not think it was full time, but said it was about six or eight months advanced. Pains (the severe pains) ceased in a few days--the doctor having left and likewise the midwife-both despairing of the birth of child. Pains continued to come at intervals, though slight. In the course of a few days-about a week- another physician was called and poulticed the abdomen, and in a short while opened a supposed abscess and a small quantity of pus came from the place. In the course of several months, the opening healed only to break in another place in a few weeks. This place was only about one-fourth inch in diameter; and continued its discharge more or less all the time; though in very small quantities. She continued her household duties until about a month before the operation, when,

she becoming more weakened, a physician was called a few days before operation and I was called in consultation. We satisfied ourselves that it was a case of extra-uterine pregnancy and nothing but operation offered any hope to the life of the patient. We at once opened the abdominal cavity and found a nest of bones-a skeleton which I herewith exhibit to the association. The cavity was washed with hot water and peroxide hydrogen. Patient recovered nicely from the operation-fever never exceeded 101 degrees Fah. No stitches were used. The cavity was packed with gauze, and in a few weeks the place had healed fairly well and the patient was going about the house. She is now perfectly healthy-menstruates regularly. She says she is as well as ever she was in her life-never has any post operation pains. This operation was done in a little cabin, and of course all the surroundings were not very favorable for such an operation.

DERMOID CYST OF BLADDER: REPORT OF

CASE.

BY WALTER A. CROWE, M.D.,

Professor of Obstetrics and Clinical Gynecology, Southern Medical College, Atlanta, Ga.

The so-called dermoid cyst is a tumor of the fibroid variety, and is found in almost every portion of the body. They contain the products of epithelial proliferation, hair, teeth, bone, etc.

Their origin is supposed to be due to a misplacement of the original germinal cells the epiblast, hypoblast and mesoblast.

These tumors were first described by Lebert in 1852; he gave them the name dermoid."

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Olhousen, of Berlin, claims that from a collection of statistics of 3,275 ovariotomies, he found 3 per cent. of dermoids. These tumors of the ovaries usually remain dormant up to the time of puberty; then they begin to grow, due to the stimulation and activity of these organs during the menstrual period.

In 1874 Danzel and Martin reported the first description of open dermoids of the rectum and bladder. (Senn, Pathology and Treatment of Tumors.)

From the literature on the subject I find only a very few cases of dermoids of the bladder have been reported, is for the rare occurrence of these cases that I report this case with the following history:

L. M., negro, aged seventeen, well-developed, began to menstruate when twelve years old, periods regular, dysmen