The following history of a case, which I present for discussion, is of interest, first, from the difficulty in making a diagnosis; secondly, from the manner in which the obstruction was produced; thirdly, from the amount of intestine occluded.
The patient, a colored woman, aged 57, weighing about 175 lbs, single, and a cook by occupation, was taken, two days before I was called, with a sudden and severe pain while ascending the stairs, and it was some little time before she was able to proceed, and then with much difficulty she reached her room. Later she had occasional colicky pains, and vomited some biliary matter. As the bowels had not moved for several days, she was given an enema, which only brought away a few hard fæcal masses. For her pain she had been using hot applications. These symptoms continuing, I was sent for. On my first visit, May