ous good health ; that she was the youngest of three sisters, all of whom were of robust constitution, though she was of slighter build and yet moderately well developed for her years. Her sisters menstruated at the age of 11, and though, when she approached this period of her life, no flow appeared, she suffered from all the more pronounced concomitant symptoms, namely, lumbar and ovarian pain...

since then on account of inability to standand walk freely. She gave a history of complete amenorrhcea. On admission she was put to bed and examined. She was lean, weak and anaemic. Her breasts were fairly developed. There was a soft fluctuating pyriform swelling about the size of a coconut in the middle of the lower part of the abdomen, extending up to the umbilicus. On auscultation no foetal