[ 326 ] 
on the other hand, there was a fecond bag, formed 
as ufual by the true lamella of the peritonaeum. 
m. 
Another fort of duplicity of the herniary fack. 
Francis le Monnier, coachman, of the Rue St. 
Laurent, about 65 years of age, had a rupture of 
long {landing, of the llrangulation whereof I had 
already cured him in 1748. Having taken off his 
trufs, in order to get it mended, he was feized with 
llrangulation the 19th of Feb. 1750. After apply- 
ing all the remedies prefcribed in luch cafes without 
fuccefs, I was obliged to perform the operation on 
the 2 1 ft at eight in the evening. Having laid the 
bag open in the ufual manner, which contain’d a 
little watry humour in it, I was much furprifed at 
difcovering within this bag a fecond bag, or pocket, 
which could be nothing elle, but either a fecond 
herniary bag, or an incomplete hernia ; that is to 
fay, a portion only of one fide of an intefline 
elongated, and come down thro’ the ring. The 
number of confiderable blood-veffels on this pocket, 
its thicknefs and fibrous texture feemed to evince 
the latter. But firft., upon preffing this bag, all its 
contents return’d into the abdomen ; fecondly, the 
patient a {hired me, even at the inflant, that his rup- 
ture had kept up fince its reduction in 1748 ; and I 
found this bag adhering, not only to the firft bag, 
but alfo attached by old and ftrong adherences to the 
teflicle and fpermatic veffels ; and it was impoflible 
that this date fhould be the effedt of three days of 
llrangulation. Flowever, as the patient might pofiibly 
have 
