CASE OF SARCINA VENTRICULI. 351 



XVIII.— HISTORY OF A CASE IX WHICH A FLUID 

 PERIODICALLY EJECTED FROM THE STOMACH 

 CONTAINED VEGETABLE ORGANISMS (SAR- 

 CINA VENTRICULI) OF AN UNDESCRIBED 

 FORM. 



Mk. -, aged 19, consulted me about a stoniach-complaiut, 



under which he had been labouring for four months, and 

 which had more or less resisted every attempt made for its 

 removal He informed me that he considered it to be water- 

 brash ; that it attacked him on awakening in the morning 

 with a feeling of distension of the stomach ; that, without 

 any effort of vomiting, a quantity of fluid, varying in volume 

 from two-thirds to a whole wash-hand basiufid, passed up 

 from his stomach ; that after this he was quite relieved, and 

 experienced no further inconvenience till the evening of the 

 same day, when, without decided distension, sounds as of a 

 fluid boiling or bubbling, and proceeding from the region of 

 his stomach, were perceptible to himself and to those around 

 him ; that he slept well enough, but was generally attacked 

 in the usual manner next morning. Such was my patient's 

 own account of his case. 



On examining more particularly into the symptoms, I 

 could ascertain nothuig positive. His tongue and pulse were 

 natural ; he had no headache, nausea, or thii-st ; no tumour 

 could be detected in the epigastrium, and no pain on pressure 

 was complained of in the region of the stomach. The bowels 

 were moved daily, and the stools were normal. His appetite 



