316 Report of the Ciij/ and Tinshiuij Dispensaries. 



surCacecame into view, the contents of which were evidently 

 ill a tiuid state ; and on its beinii opened, ab^ut an ounce ot" 

 a limpid fluid escaped. At the posterior part of >he sac 

 containing the limpid fluid (which was a hydatid; was seat- 

 ed tlie hernial sac, forniine; a tumour not larger than a ches- 

 nut, but adhering firfnlv wuevery part to the surface of the 

 contained intestine, so as to render iis separation wholly im- 

 possible. The sac was returned with the intestine, after the 

 contracted part at ihe neck had been carefully divided by a 

 longitudmal incision. One suture was passed through the 

 integuments, and the edges of the wound supported by 

 straps of adhesive plaisler. From these difficulties, ihe ope- 

 ration took more time than is usually required, but she 

 scarcely expressed any sense of pain. The pulse was full, 

 and did not exceed 80. Small doses of niaan. vit. in aq. am. 

 aoet. et aq. uiCiith. sat. were ordered to be taken frequently 

 during the day. 



Three P.M. — Every uni'avovirable >ymptom had subsided: 

 the medicine and some broth had been retained on the sto- 

 mach, and a gentle perspiration was diffused over the body. 

 'Jlie medicines were ordered to be continued, and a purging 

 clyster to be injected. 



3d. Five A. M.—She liad slept for several hours during 

 the night, and had not had any return of either the liiccuji 

 or sickness, but no evacuation by stool. Notwithstanding 

 the cessation of pain, the nourishment taken and retained on 

 the stoujaeh, and the sleep which she had had, she was evi- 

 dently lower. 



One P. M. — Quite composed and sensible, but sinking 

 fiist ; and she died at iive P. M., 3 3 hours .after the ope- 

 ration. 



On examining the part by dissection, the hydatid was 

 found to adlicre to the anterior part of the true peritoneal 

 herniary sac, which from being very small, and the adhe- 

 sions not permitting its enlargement, was entirely covered 

 by the same. 



The " rough irregular " appearance on the outside of the 

 Hac appeared to be pi-oduced by the adhesion of the re- 

 mains 



