Marion, Ohio, Dec. 15, 1893.
To the Editor:
—The following interesting case is worthy of report, I think:Mrs. B., aged 80, from disturbed hepatic circulation has been afflicted with abdominal dropsy for the past eleven years. During the summer and fall of 1882 the abdominal cavity became so distended with the fluid that the lady was unable to walk, nor could she lie down, but was compelled to get what rest she could in an easy rocking chair. Drugs for carrying off fluids were tried with negative results. She finally consented to be tapped, and the operation was performed Dec. 23, 1882, for the first time. Great relief followed, and the patient was able to be up and around, but the fluid re-accumulated and she was again tapped seven weeks from the first operation. From that time until her death Dec. 3, 1893, she was tapped on an average