I wish to report the following case because I think it is rare:—

C.B., female, age six months, healthy and well nourished at the breast. Soon after birth mother observed a small, hard, moveable lump in the right groin, about the size of a filbert and free from tenderness. This condition remained and the child gave no trouble till about 2nd May, when she seemed to suffer when the part was touched. On the 3rd of May the child was brought to me with the report that the lump had manifestly increased in the previous 24 hours, as it continued to do till the 6th May. There was no general sign of illness, the child being free from fever or any suffering unless when the swelling was handled, but the skin over the part had become red. On the 6th May I operated as usual for hernia and removed a tumour from a hernial sac, on which Dr. Drennan gives the following report: “The tissue consists of broad ligament with Fallopian tube and ovary. In these there is extensive haemorrhage, nothing but blood being seen over large areas. The vessels, especially the veins, are greatly engorged. In one part of broad ligament there is a collection of serum with a number of acute inflammatory cells. The appearances are those of acute strangulation of the broad ligament with ovary, due, as the history indicates, to involvement in the hernial sac. It is an interesting and unusual finding in a hernia.”

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I wish to report the following case because I think it is rare:—

C.B., female, age six months, healthy and well nourished at the breast. Soon after birth mother observed a small, hard, moveable lump in the right groin, about the size of a filbert and free from tenderness. This condition remained and the child gave no trouble till about 2nd May, when she seemed to suffer when the part was touched. On the 3rd of May the child was brought to me with the report that the lump had manifestly increased in the previous 24 hours, as it continued to do till the 6th May. There was no general sign of illness, the child being free from fever or any suffering unless when the swelling was handled, but the skin over the part had become red. On the 6th May I operated as usual for hernia and removed a tumour from a hernial sac, on which Dr. Drennan gives the following report: “The tissue consists of broad ligament with Fallopian tube and ovary. In these there is extensive haemorrhage, nothing but blood being seen over large areas. The vessels, especially the veins, are greatly engorged. In one part of broad ligament there is a collection of serum with a number of acute inflammatory cells. The appearances are those of acute strangulation of the broad ligament with ovary, due, as the history indicates, to involvement in the hernial sac. It is an interesting and unusual finding in a hernia.”

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