536. ESSAYS AND OBSERVATIONS 



tenckd wkh aif, the great .curvature of it 

 rteuch lower down than its natural fituation ; 

 the great arch of the colon quite out of its place, 

 and lying as low as the middle of the fmall 

 guts ; iht jejiimwi and ileum coniiderably in^ 

 flamed and much diftende^ with air, and 

 the mefenteric veffels much more turgid 

 than ufual. Thefe were the principal things 

 to be obferved in the abdomen. Upon ma- 

 king an incifion through the teguments of 

 the fcrotum, (in the fame diredtion as is 

 ordered in the operation for the btibono- 

 cAe) I foon difcovered the hernial fac, 

 which was very thin, tenfe, and rigid ; 

 and, upon laying the fac open, there was 

 nothing to be found but the omenfumy'" 

 which was compleatly mortified as high as 

 the ring of the mufcle. Upon dilating 

 the ring itfelf, I found a convolution of 

 the ileum flicking in the very mouth of the' 

 opening, but the one half of the tranfverfe 

 diameter of the canal was only engaged, 

 and that part of it which was ftrangulated' 

 was in a mortified ftate. The remaining 

 part of the gut betwixt that and the ca- 

 put cell was much fmaller than ufual, con- 

 fiderably inflamed, and contained a little 



putrid 



