Note of a Case of Hæmorrhage from Rupture through a Mucous Cyst at the Os Uteri (in a Case of Complete Senile Prolapse)

(in a case of complete senile prolapse). ?Mrs D., 81, had one child, shortly after which her husband died. For many years she had suffered from complete prolapse of the uterus, for which she formerly used Zwanke's pessaries, but as they always broke, she has of late years left it to itself. She is and has always been an extremely healthy woman, and at present looks much younger than her age. Since the climacteric she has had no genital bleeding whatever until the morning of 5th November 1896, when during the night she was seized with severe bleeding. After some time this got less, but did not entirely stop, and it recurred sharply every time she attempted to get up. In the morning, when I saw her, there had been, to judge from the cloths, considerable bleeding, but not enough to affect the pulse seriously. On examination, I found complete prolapse of the uterus, and close to the os at the left side was an irregular protuberance about 1 cm. high, from which blood was oozing at the inner side of the base.