228 PHILOSOPHICAL TRANSACTIONS. [aNNO 1 738. 



been beaten into his tongue by the bullet, and- endeavouring to extract it, he 

 took hold of the ledge with his forceps, and drew the ball out; after which he 

 recovered in a few weeks. 



The marks of the fore teeth are to be seen on the bullet, and where it flatted 

 upon the jaw-bone.* 



An Obstruction of the Biliary Ducts, and an Imposthumation of the Gail- 

 Bladder, discharging upwards of 16 Quarts of bilious Matter in 25 Days, 

 without any apparent Defect in the Animal Fu7ictions. By Claud. Amyand, 

 Esq. F.R.S. N" 449, p. 317. 



Mr. La Grange, about 50 y6ars of age, of a sallow bilious complexion, died 

 of an abscess in the vesica fellis. 



Dr. Vatas, his physician in ordinary, reports, that about 14 years before, 

 this gentleman was afflicted with a tertian ague, which was cured by the bark, 

 and from that time had complained of a sense of weight, and some uneasiness 

 and hardness in the region of the liver and borborygmi, which were relieved by 

 frequent purgations; notwithstanding which, he had enjoyed all the appearances 

 of health, till about 4 months before his death, when some symptoms of the 

 jaundice first began to appear on him, which had greatly increased 5 or 6 

 weeks before he died, when he began to complain of shooting pains on the 

 right hypochondrium ; which was soon followed with a hard inflammatory 

 tumour there, tending to suppuration. 



May 4, Mr. A. met Dr. Vatas, and Mr. Fiquel, his surgeon, in order to 

 open a large abscess pointing below the cartilages of the 2d and 3d spurious 

 ribs on the right side. It was determined to open it immediately with a lancet, 

 upon which a pint of a purulent fetid matter was discharged. The aperture 

 being large, and the dressings easy, by the next day a very large quantity of 

 sanies, and some pus left in the bag, had found a vent ; and this was so great, 

 that it was thought proper to renew the dressings twice a day. 



This had the desired effect so far, that from this time the matter daily de- 

 creased, till the 12th of May, when during the night the wound had discharged 

 near 2 quarts of matter of a saffron colour, intermixed with large flakes and 

 thick lumps of a coagulated lymph or jelly, tinged of a deep yellow; and it 

 was surprising that on dressing they made way for the discharge of about a 

 quart more of the same, as they enlarged the orifice of the bursted bag, to 



♦ A very extraordinary narrative of a gun-shot wound, is to be seen in N" 320, of the Philos. 

 Trans. It is the case of one Dr. Feilding, who was shot in near the eye, and after 29 years the 

 bullet was cut out near the pomum adarai.— Orig. 



