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In the first part acute mental disturbances of more or less psychotic character following upon major gynaecological operations are described. In general there were only minor somatic findings to be made. The mental disturbances were predominantly psychoreactive. They usually disappear under psychopharmacological therapy supporting psychotherapy quickly and do not recur. In the second part the literature relevant to this theme is compared and discussed. The attempt is made to interpret such disturbances as model cases for psychic disorders arising from an interaction between physical and mental components.
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