Since Sampson's1 exhaustive article on perforative hemorrhagic (chocolate) cysts of the ovary, one finds from time to time many and varied evidences of endometriosis. I have seen several such cases2 in which the appearance of the uterus closely resembles a leiomyoma, but in which there are many firm dense adhesions to the ovaries, pelvic wall, rectum and sigmoid. In these cases, when trying to arrive at a definite diagnosis, there has always been one definite symptom of which all the patients have complained, pain in the rectum preceding and often accompanying defecation.
The case I shall describe is, I think, unique in that there has never been any menstrual disturbance, and the patient has always been considered a strong, healthy member of her sex.
REPORT OF A CASE
Dr. Donald MacGillivray asked me to see a maiden lady, aged 38, on the evening of March 16, 1927. The