[ 334 1 
thought, the Smell of Excrements, fo that there is 
no Doubt that the Caufe of it was the Wound made 
in the Gut, by the Pin giving way occafionally to fuch 
a Difcharge. The Patient alfo perfe&ly remembers, 
that the Impoftumation or Gathering preceding the 
fiftulous Difcharge was attended with very little Pain, 
or much lefs than generally attends Suppuration, 
Which fhews that the Extravafation of the Excre- 
ments from the Gut into the Hernial Bag, and the 
burfting of this Bag, were the Caufe of the fiftulous 
Difcharge, and of the continuance of it outwardly. 
As to the Pin found in the Rupture at the Time 
of the Operation, it is obfervable, that two Thirds 
of it, incrufted with a chalky Matter, were confined 
and concealed within the Gut 5 the other Third next 
the Point, had made its way through it, the Point 
of which was fo lodged in the Omentum wherein it was 
fixed, as to leave a free Pafiage for the Excrement 
from the perforated Gut outwardly, whenever the 
Perforation in the Gut, upon fhifting the Pofi- 
tion of the inclofed Pin, could open, and afford a 
Pafiage for the Difcharge of the Faeces this way, 
which was as oft as this conical or pyramidal Pin. 
did alter its Place, or did not exa&ly obturate the 
Aperture in the Appendix Coeci, it exa&ly fitted. I 
have already obferved, that the Aperture made in the 
Gut by the Pin, lay concealed, the Point being 
lodged in the Omentum, lying parallel with the 
Gut, which was here duplicated, where it was 
fo fecured, that it feemcd almoft iihpoflible it 
could ever make its way out of this Place, and its 
other Confinement in the Gut, as the Aperture was 
callous, and fo refifting that it was with fome Vio- 
lence 
