the uterus to attain an
enormous size, equaling the ovarian cysts. Stockard describes an
instance of this nature in a negress of fifty, the mother of several
children. About twelve years before a cyst in the right iliac region
was tapped. The woman presented the following appearance: The navel
hung below her knees, and the skin near the umbilicus resembled that of
an elephant. The abdomen in its largest circumference measured 68
inches, and 27 inches from the ensiform cartilage to the umbilicus. The
umbilicus was five inches in diameter and three inches in length. Eight
gallons and seven pints of fluid were removed by tapping, much
remaining. The whole tumor weighed 135 pounds. Death from exhaustion
followed on the sixth day after the tapping.

Ovarian cysts, of which by far the greater number are of the glandular
variety, form extremely large tumors; ovarian dropsies of enormous
dimensions are recorded repeatedly throughout medical literature. Among
the older writers Ford mentions an instance of ovarian dropsy from
which, by repeated operations, 2786 pints of water were drawn.
Martineau describes a remarkable case of twenty-five years' duration,
in which 80 paracenteses were performed and 6630 pints of fluid were
withdrawn. In one year alone 495 pints were withdrawn. Tozzetti
mentions an ovarian tumor weighing 150 pounds. Morand speaks of an
ovarian cyst from which, in ten months, 427 pounds of fluid were
withdrawn. There are old records of tubal cysts weighing over 100
pounds. Normand speaks of an ovary degenerating into a scirrhous mass
weighing 55 pounds. Among recent operations Briddon describes the
removal of an ovarian cyst which weighed 152 pounds, death resulting.
Helmuth mentions an ovarian cyst from which, in 12 tappings, 559 pounds
of fluid were withdrawn. Delivery was effected by instrumental aid. The
tumor of 70 pounds was removed and death followed. McGillicuddy
mentions a case of ovarian cyst containing 132 pounds of fluid. The
patient was a woman of twenty-eight whose abdomen at the umbilicus
measured 69 inches in circumference and 47 inches from the sternum to
the pubes. Before the operation the great tumor hung down as far as the
knees, the abdominal wall chafing the thighs. Figure 263 shows the
appearance of a large ovarian cyst weighing 149 pounds. The emaciation
of the subject is particularly noticeable. Reifsnyder describes a
native Chinese woman affected with an ovarian tumor seen at the
Margare