Unusual Case of Hydatidiform Mole, Dealt with by Abdominal Hysterectomy. *

THE following case presents so many points of clinical interest, and the preparations of the uterus demonstrate so beautifully in an almost unique way some pathological points, that I venture to think it is not unworthy of your consideration this evening. All the more so that by a strange coincidence another paper follows mine dealing with another uterus containing a hydatidifonn mole, in this case removed post mortem. The two cases form an interesting contrast and mutually supplement in a remarkable manner, the pathological details which Dr. Young will endeavour to demonstrate to you after the papers have bwn read. My own case further opens some problems as to the method of treatment, and I would welcome discussion and criticism from those present, who are so well qualified to deal with this question. The following are the notes of the case, most of them furnished by Dr. Wilton Johns, the patient’s medical attendant :Last December I was asked by Dr. Johns, of Nairn, to go North as soon as possible to see an urgent case with a view to operation, the patient being too ill to be removed to Edinburgh, as a t one time had been intended. I set out by the first available train on a Sunday morning, and found the patient, as Dr. Johns had indicated, in a very critical and exhausted condition, and suffering from severe uterine hemorrhage. Xrs. C., in her 49th year, had been married for eight years, and had been previously a healthy woman and able for all her manifold duties as a farmer’s wife. She began to menstruate between 17 and 18 years of age, was regular and of the 28 day type. The amount of the flow moderate (about three days’ duration). Her periods were quite easy and free from pain, and never interrupted the usual routine of her life. When about 28 years of age she had complete amenorrhaea for 12 months, which was said by her doctor to be due to overwork