The following case, which is of unusual interest in some respects, came into my service at the City Hospital.
This patient was operated on in June, 1906, by my colleague, Dr. A. E. Benjamin, who reported the case in the Annals of Surgery, February, 1907. At this time were removed from the stomach fifty-two nails and some glass pieces, the photo of which is here reproduced. His history, in brief, up to that time is as follows:
—E. W., aged 47, has been a professional nail and glass eater for twenty years without suffering serious inconvenience until February, 1906.
—Four years ago he had a moderately severe gastric hemorrhage, and for the past four months he has vomited considerable blackish fluid, and his stools have been black at times. He has lost 23 pounds and feels weak. Examination at this time showed marked dilatation of the stomach, the