size as to be firmly wedged in the vagina, it being impossible to pass even a sound between the growth and the walls of the latter. Abdominal hysterectomy was therefore performed with great difficulty on account of the enormous thickness and pendulous condition of the abdominal walls, which fell in a mass over the pubic region and had to be held up and supported by my assistant while the primary incision was being made. On the eighth day the abdominal stitches were removed, the wound appearing well united and strong. During the night the patient's bowels moved twice, and her efforts at straining opened up the skin wound, the subcutaneous fat protruding. The gaping lips of the incision were brought together by plaster, and the wound allowed to heal by granulation. The patient made a good recovery, but a hernia subsequently developed, for which a truss is now worn. She has been in excellent health since and is in all respects a better patient.

A glance at the accompanying photographs (Figs. 1 and 2) shows the unusually large size of the polypus in comparison with the uterus to which it is attached, as well as some of the nodes with which the organ is studded. From the inner surface of the fundus (Fig. 2) a small nodule will be seen projecting. This was softer and more vascular than the surrounding structures, and microscopical examination of the growth showed it to be undergoing adenomatous degeneration, a condition which, had it been allowed to continue, would in all probability have resulted in the development of carcinoma, and the termination of the patient's life.

VISCERAL DELUSIONS.

In a paper published in 1896 I stated that the visceral delusions of the insane are probably more frequently the mental manifestations of bodily suffering dependent upon morbid conditions of the abdominal organs than is generally supposed, and that the actual state of these organs should first be determined by careful examination before such delusions are dismissed as merely figments of a disordered brain. Several illustrations from post-mortem finds and operative discoveries were given at that time, and the following case is now added to those already reported: