‘ 
*~ 
3 in. The symptoms continued to increase during the two 
Surgical Cases in the Finsbury Dispensary. 255 
and there was a moist skin over the whole body. The opiate - 
was continued, and the saline mixture was repeated in small 
- doses at short a 
26th, Every unfavourable symptom had increased; the 
pulse was quick and small, attended with a dry skin: au 
enema was given, which returned with a small quantity of 
thin feculent matter, extremely offensive, and perfectly 
green. 
27th, The pulse was quicker and weaker than on the pre- 
ceding day, but the pain had nearly subsided. 
28th, The pain had considerably increased, but she ap- 
peared to be sinking fast, and died at 11 o’clock at night. 
On examining the body after death, the thoracic viscera 
were perfectly healthy and natural. 
In the abdomen the small intestines were distended with 
flatus, and much discoloured; the jejunum and ileum were 
in some parts in a gangrenous state, and their coats so tender 
as to give way to the slightest pressure; an opening was ob- 
served in the mesentery, through which many feet in length 
of the small intestines had protruded ; the distension of whick, 
added to the subsequent inflammation of the mesentery, in 
all probability produced the stricture on the intestinal canal. 
This malformation, from all appearance, must have existed 
from the first formation of the parts, as there was not the 
least trace of laceration or accidental injury. The other 
viscera were all natural and healthy. 
A fatal case of strangulated’ hernia, in which the opera- 
tion might have been performed with the greatest hope of 
guccess. 
Mrs. » et. 35, had been the mother of several 
children, and had always enjoyed good health, attended di- 
vine service on Sunday, the 12th of October last, and ap- 
peared quite well after her return home; but in the even- 
ing she was seized with pain in the abdomen, attended with 
sickness, hiccup, and vomiting: on going to bed she com- 
plained of a small swelling in the right groin, but which was 
not mentioned to the professional gentleman who was called 
.. followi ing 
