A diagnosis was made of multilocular ovarian cyst or edematous myoma of the uterus, and on the morning of December 7, 1890, an operation was performed.

An incision 14 inches in length was first made in the linea alba, below the umbilicus, and afterward extended up to the xiphoid cartilage.

The hemorrhage from the abdominal wall was very free, and the enormously distended vessels required the application of a large number of pressure-forceps.
Adhesions were found almost everywhere the most difficult to manage being those of the liver and diaphragm.

The broad ligaments and Fallopian tubes were ligated on either side, the tumor turned out, the thick, heavy pedicle transfixed and ligated, and the enormous growth cut away.

After operation the woman was immediately placed on platform scales, and it was found that she had lost 93 1/2 pounds.
Unfortunately the patient developed symptoms of septicemia and died on the fifth day.