Operative gynecology : . he obstruc-tion. It is greatest when the stoppageis at the extreme lower end of the ure-ter, as in the case of a calculus plug-ging: its orifice. One of the commonestforms, generally of lesser degree, is thatproduced by the pressure of large uter-ine or ovarian tumors, which is almostalways greatest just at the pelvic brim,so that the hydroureter affects the abdom-inal portion only. A marked case was found in one ofmy patients (S. A. H., 4039, Dec. 30,1895), who died with an enormous car-cinoma of the cecum filling the wholeabdomen and pelvis. Following the dis-tention
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