Thomas B. Magath

DOUBLE LUMEN IN FALLOPIAN TUBE

To the Editor: —My attention has recently been called to a description given by H. E. Metcalf (The Journal, Jan. 5, 1918, p. 20) of a double lumen in a human fallopian tube. The author was at a loss to explain the origin of the interesting structure and offered as an explanation the effect of adhesions and pressure due to traumatism of displacement. This explanation does not seem to me to account for the condition at all, or, if it does, Metcalf has not made the exact mechanism clear. Since he did not refer to previous work on the subject, one may assume that he was not familiar with the report by Williams of two cases of diverticulum of the tube which he described in the American Journal of Medical Sciences in 1891. The description of the condition that Metcalf gives corresponds exactly to that given by Williams, which the