THE patient, age 31 years, was admitted t o the male wards of the Salford Royal Hospital in May, 1928; he complained of severe pain in the back, obstinate constipation, and a swelling of the abdomen which was rapidly increasing in size.
ON EXAMINATION.-A large abdominal tuniour was obvious, apparently arising from the pelvis ; it was fimi, and in size corresponded approximately to that of a 6-to-7-months pregnancy; per rectum a mass could be felt anteriorly. Neither testis was present in the scrotum, but the patient stated that at times both had appeared.
OPERATIoN.-Laparotomy revealed a large nodular tumour, in parts cystic, in others solid, emerging from the pelvis, and t o the posterior aspect of which the rectosigmoid was adherent. It was considered t o be a malignant tumour, probably arising from a retained testis, and inoperable. However, on searching for what were assumed to be the testes, both were found ; but it was noted with some surprise that a tube with fimbriated extremity lay in relation t o each. The size of the tumour prevented a thorough exploration of the pelvis, and the abdomen was closed.
POST-MORTEM ExAMINATIoN.-The patient died in July, 1928, and at the autopsy the peritoneum was studded with secondaries, there was a mass of enlarged aortic glands, and the liver also showed numerous secondaries ; there were no metastases elsewhere. The tumour and pelvic contents were removed en masse, and on dissection I found the following interesting condition