At the time of autopsy, September, 1909, she weighed about 170 pounds, was five feet two inches in height, and presented marked ulcers on the posterior surface of her legs, especially in the region of the calves, thrombotic in character. Upon opening the abdomen the lithopedion was found free in the left side of the abdominal cavity, with small intestines loosely matted together, and beneath and behind. The omentum was adherent on the anterior surface of the lithopedion, as well as a small bit of the mesentery from the sigmoid. There were multiple adhesions throughout the entire abdominal cavity, but none were found that seemed to have done any particular injury. The left ovary was small and contained numerous cysts, with the fimbriated extremity of the left tube adherent behind and beneath the ovary. The right ovary was sclerosed and hard, containing calcareous deposits in its walls, was cystic in character, and about the size of a horse chestnut. This cyst contained a thick, gelatinous, dark-looking substance resembling clotted blood. The right tube had lost its fimbriated extremity, and its distal end seemed to give the evidence that the foetus had been an extra-uterine pregnancy near the ovary and had made its escape therefrom. The uterus was enlarged, especially in the left horn, and contained a myoma the size of a horse chestnut, which was exceedingly hard to the touch, while a smaller myoma was found in the posterior part of the uterus. The liver was enlarged and fatty, extending four fingers' breadth below the free border. Both common and hepatic ducts were patent. Stomach was quite distended, lying below the umbilicus, as viewed from the incision in the abdominal wall. The gall-bladder contained two irregular-shaped stones the size of small hickory nuts, faceted, but the patient had never given any symptoms of trouble from gall-stones. The right kidney was markedly enlarged, adherent to the liver on its under surface, as well as the right adrenal, and contained about a half-dozen small cysts just beneath its capsule. The ureter apparently was normal and patent throughout. The capsule was stripped with some difficulty from this kidney. The left kidney contained foetal lobulations, with a multiple cystic condition, especially at the lower pole. The capsule was very friable and stripped easily from the organ. The cysts were filled

with a clear, gelatinous material and only one contained a sero-purulent material. The kidney itself was very friable and dark in color. Pelvis seemed to be normal. Ureter normal in size and patent to the bladder. Spleen enlarged and congested to about double normal size, while the substance was exceedingly friable. Appendix lay in normal position, but was greatly atrophied. The heart apparently was dilated and hypertrophied, with about one ounce of free fluid in the pericardium, the majority of hypertrophy being found in the left ventricle, as well as the same being dilated, while the walls were thin and there showed a brown atrophy of the heart muscle. There was extreme arterio-sclerosis of the mitral valve, as well as marked sclerotic patches in the aorta. Dr. Ordway, of the Bender Laboratory, kindly made the histological examinations of the specimens that were brought to the laboratory, which are appended as follows:

Uterus and Adnexa.-Uterus is slightly and irregularly enlarged. Toward the left cornu there is a rounded tumor mass. On section this is sharply circumscribed, 3x3 c. m. in diameter. Its surface shows interlacing, glistening, fibrous bands, the consistency of which is firmer than the surrounding tissue. The cervical canal is filled with a tenaceous mucous. On scraping this away numerous cysts from .2 to I c. m. in diameter are found containing the same material.

Fallopian Tubes.-The right is considerably dilated and it is curved backward and inward, being adherent to the posterior anterior surface of the uterus by firm elongated bands of fibrous adhesions.

Right Ovary. Is firmly adherent to the tube and is represented by an enlarged mass about 3x5 c. m. in diameter, the surface resembling whitened ovarian tissue, and section discloses a cyst filled with thick, tarry fluid.

Left Tube.-Is much elongated, the distal two-thirds being dilated and adherent to a large cystic mass 10x12 c. m. in diameter. The thin transparent walls contain a clear, somewhat viscid fluid. At the lower pole of this cystic mass is a firm nodule having the size and general appearance of an ovary. The distal extremity of the tube, which in the outer 3 c. m. of its course is firmly adherent to the cystic mass just described, is curved downward and inward and is firmly ad