The patient was operated on in Dr. J. B. Carnett's service at the Philadelphia General Hospital. He was referred from the men's nervous ward for operation for acute empyema of the gallbladder. At operation this condition was found, with 213 gallstones. In addition, 452 foreign bodies weighing 3 pounds were removed from the stomach. The patient made a good recovery.
REPORT OF CASE
J. S., man, admitted, June 16, 1917, to the neurologic service of Dr. Charles Potts in a rather pronounced state of melancholia, had a chill, July 4, and his temperature rose to 105 F. Physical examination revealed a rigid abdomen with marked tenderness and rigidity over the upper right rectus muscle. The leukocytic count was 11,800.When the patient was transferred to the surgical ward the following day, the temperature had fallen to 100, and the rigidity was less. A few days later, because of a return