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Case 1.1 —History.—Mrs. I., aged 48, came to see me in December, 1929. Her family history was unimportant. About twenty years before, she had had the last of two miscarriages, which passed off without complication. She had borne no children. A number of years before, Dr. H. C. Cowles of New York had extirpated a bartholinian gland for gonorrheal infection, and in 1927 he removed the right adnexa, which were similarly diseased. The patient said that in 1927 there was a period when her legs became swollen without known cause. When I saw her, the swelling had completely disappeared. In June, 1929, Dr. Charles Gordon Heyd operated on her for cystic disease of the left ovary, removing a degenerated multilocular intraligamentous ovarian cyst. The operation had been difficult because of many adhesions to the hollow viscera, but the remainder of the abdomen had revealed no abnormality. Pathologic examination failed

Pneumoperitoneum as a diagnostic measure has passed the stage of experiment and research and is now a method commonly utilized in gynecology. Similarly, the use of opaque mediums for uterine and tubal diagnosis has met with a measure of success in the hands of Heuser, Forestier, Kennedy and others. As far as we are aware, the two methods have not been combined before. We first considered this combination as to its practicability in December, 1925, and have adopted it for some time past as a means of roentgenray diagnosis in our gynecologic clinic. The following case may well illustrate this use: REPORT OF CASE Mrs. R. E., aged 25, who had been married three years, and whose last menses occurred, May 21, 1926, was sterile. Examination revealed a mass in the right adnexa almost fist sized, which was adherent and tender. In the absence of any inflammatory history