VOL. XL.] PHILOSOPHICAL TRANSACTIONS. ' 389 



to which, it is rare to find any strangulated rupture that is not attended 

 by it. 



The pain attending the prolapsus soon swells the vessels of the omentum, and 

 that will fill up the apertures in the abdominal muscles, through which the 

 viscera are fallen out, so as to prevent their return, and bring on an inflamma- 

 tion : if by plentiful bleeding the vessels emptied do not facilitate the return of 

 the parts prolapsed, then all the consequences follow that are generally observed 

 upon the like occasion ; and if blood-letting with the remedies before mentioned 

 do not produce the desired effect soon, it is very seldom that any thing is got 

 by the application and use of all the other means prescribed. 



It is however certain, that it is very dangerous to depend too long upon those 

 remedies, and that a suspension of the symptoms is no security, whilst the due 

 course of the faeces is interrupted. 



The case here mentioned may be a warning to others not to delay too long 

 an operation, whereby the parts are to be released from confinement, and which 

 oftener would be successful, if it was not delayed so long. 



An Account of a Pin taken out of the Bladder of a Child. By Mr. William 

 Gregory, Surgeon. N° 430, p. 367- 



Mr. G. was called to the assistance of a woman in travail. The foetus pre- 

 sented in a transverse position; he soon recovered the feet, and in a few minutes 

 delivered the woman. The funiculus umbilicalis was so short, that it was with 

 difficulty he could make a ligature on it, in order to make a separation : he im- 

 mediately extracted the secundine, and measured the funiculus, which was little 

 more than 4 inches long. 



As soon as the woman was taken care of, he examined the child, which 

 he found to be imperfect in several parts, there being no anus, neither privities 

 to distinguish of what sex it was : where the vulva should be, there was a small 

 perforation, though no appearance of labia, through which the urine always 

 passed away ; there was likewise a large hernia umbilicalis, and a little lower in 

 the linea alba, was a perforation, into which the intestinum rectum opened, and 

 there the excrements passed during the time the child lived, which was almost 

 10 weeks. 



Several days before the child died, a gangrene appeared on the hernia, which 

 soon passed into the intestines, and occasioned its death : the hernia, in his 

 opinion, was occasioned by the shortness of the funiculus, which did not grow 

 in length j)roportionable to liie foetus ; the child in all other parts was perfect. 

 When the child died, he had liberty from the parents to inspect into it: he did 



