Mesenteric Cyst
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neoplasm arose from the cervix uteri, and that a large metastasis was present on the anterior vaginal wall extending to the vulva and involving the left labium minus. A diagnosis was made of sarcoma botryoides of the uterus. In fourteen days hEemorrhage recurred. The vagina was again found ballooned to the original degree and about the same quantity of growth was removed. Three weeks later the tumour reappeared outside the vulva and its extraordinarily rapid development could be watched daily. The child died about three months after the appearance of the first haemorrhage in a condition of extreme emaciation and ansemia. Post mortem it was found that the tumour had no relation to the uterus but that it arose from the anterior vaginal wall. In this respect it agrees with the statistics given by Wilms, who believes that these vaginal sarcomata in children originate in off-shoots of the mesoderm detached during the early growth of the Wolffian duct.