C *39 3 
theCauftivenefs, the Reachings, and Vomitings, rather 
increafing, as in the Miferere Mei y and having thence 
aReafonto apprehend a Strangulation and Suppuration 
of fome of the Vijbera in the Neighbourhood of the 
Navel, Dr. Hollings being called in, it was agreed 
to inlarge the Aperture made by the fore-mentioned 
Matter in the Line a Alba y with a View and Intent to 
know the State the Parts were in, to reduce what we 
found there, or at lead to procure a more free Dif- 
charge to the Matter colleded under the Aponeutofis 
of the Mufcles : For a Fortnight and more, every 
Thing was done that could internally or externally 
eafe the Difcharge, and open the Paflage for the Faeces 
downwards, but all in vain. The Patient was a whole 
Fortnight without a Stool, all the Symptoms daily 
increafing, though towards the latter End (he vomited 
rather more feldom : Yet, as fhe was (till taking in, fb 
the Dimenfions of her Belly increafed in Proportion, 
and the more for that the Air confined and rarefied in 
the Faeces pent in, added daily to the Tenfion 3 which 
at laft had ftretched the Skin to the utmoft. There 
was alfo a Supprellion of Urine, the Fundus of the 
Bladder being ftretched towards the Navel, at the fame 
Time that the Neck of it was comprefled by the Faeces 
bearing down in the Pelvis, and a Tumour fprung up 
about the Anus, as if they had been feeking a Paflage 
that way. It was propofed to fcoop them out, bpt 
the Redum was found empty, and the Obftrudion as 
far beyond the Reach of any Chirurgical Operation, 
as it had proved againft all the Means hitherto em- 
ployed. 
The Patient was now reduced to the loweft Ebb. 
The Dejedions were Excremcntitious, her Pulfe de- 
X x 2 prefled, 
