History.
—A married woman, aged 56, rather compact and stoutly built, sextipara, weighing 150 pounds, had had normal health in every respect until two years before admittance to the hospital, when she suffered an attack of appendicitis which passed off in three or four days. Aug. 12, 1918, there occurred a more severe attack in which the bowels had been made to move with difficulty. Two months later there was another attack with diarrhea, and subsequent difficulty was experienced in moving the bowels. This attack passed off in ten days, leaving tenderness diffused over the right abdomen. This persisted until the attending physician advised the patient to enter the hospital, November 15.
Examination.
—The heart and lungs were normal, and blood count revealed: red cells, 3,860,000; white cells, 7,400; hemoglobin, 80 per cent.; polymorphonuclears, 63 per cent.; large lymphocytes, 3 per cent.; eosinophils, 1 per cent; small lymphocytes, 32 per