40 
REPORTS OF CASES. 
but stimulants, viz: whiskey, eggs and milk, and inclined to 
remain standing. The pulse became soft and weak, respira¬ 
tion normal, temperature 98^° F. At this time a dropsical 
swelling appeared at the point of the xyphoid cartilage, and 
in the course of a day or two in the region of the right flank 
there appeared another dropsical swelling, which continued to 
enlarge and in a short time the whole abdomen was augmented 
in size. 
Hot fomentations were applied to the right flank and the 
tumor soon became doughy, pitting on pressure. On Oc¬ 
tober 24th, concluding that a process of suppuration was the 
cause of all the trouble, I explored it with a small trocar and 
canula, and obtained a little pus, so I punctured the abscess 
with a heated cautery iron, which relieved the patient of four 
quarts of very foetid pus. 
The cavity was washed out and cleansed antiseptically. 
I prescribed a stimulating draught and left the patient for 
the night. 
^ Besides the usual treatment for such wounds I prescribed 
three times daily for ten days the following: 
^ Tinct. Ferri Chloride §iss. 
Quiniae Sulph., grs. xx. 
Aqua, O. 
The profuse oedema of the pectoral, abdominal and inguinal 
regions were very readily resolved. The cavity continued to 
discharge for some time, yet the healing process was slow but 
progressive and it finally healed. 
By good nursing and grooming she recovered from her 
badly emaciated condition and from her debility; on January 
1, ’91, was apparently recovered; her spine had become normal 
again ; it had been caused to curve by the enormous tumor 
pressing the viscera to the left side by Contraction of the 
muscles of the right side. 
I believe it the largest I ever saw in my limited experience 
and its internal wall was only the transverse muscle of the 
abdomen. 
