(Concluded from page S89).
Case 110.—Date of operation Aug. 17,1893. Operator, Dr. Murphy. Case occurred in practice of Dr. Pigall. R. S. B., aged 33 years; male. Post-Graduate Hospital. Patient was kicked on July 31 in the right side by a man. The same night, at 2 a.m., he was attacked with sudden pain in right iliac region, followed by fever, tenderness and tympanites. These symptoms continued up to the time of operation. Examination: Large tumor in right iliac region, extending almost to umbilicus; no fluctuation could be detected; no edema or redness of the wall; dull on percussion, both superficial and deep. A differential diagnosis was made between rupture of kidney, rupture of cecum and appendicitis in favor of the latter. Operation: Lateral incision; abscess wall adherent to anterior wall of abdomen; general peritoneal cavity not opened. Abscess circumscribed; drained; appendix not removed; recovery.
Case 111.—Date of operation Aug.