<h3>Patient.</h3> —Mrs. S., aged 33, married, housewife, was referred to me at the Italian Hospital, April 5, 1905, with the following history: <h3>History.</h3> —Patient has given birth to eight children, three still living, five miscarriages; otherwise she never had any trouble. Her present trouble started five weeks ago, when she aborted a three months fetus. She was curetted by her family physician at that time. <h3>Examination.</h3> —The woman is very pale and thin, complains of headache, backache, and a feeling of uneasiness in the lower part of the pelvis; also of a bloody fetid discharge. The perinneum is lacerated through the external sphincter. She has a slight cystocele and a large rectocele. There was no visible discharge, the patient having taken a douche. A unilateral laceration of the cervix could be felt, and the uterus seemed slightly adherent to the rectum. The fundus was enlarged and soft; the tubes and