6o 
longitudinal axis of the bowel ; some few, chiefly situated along the 
mesenteric attachment, are placed transversely. 
The nodules are found either 4 cm. to 12 cm. apart or in small 
groups of three to five oval tumours separated by 15 to 2 5 cm. from 
one another. Occasionally, small clusters of two or three are seen 
lying close together (Plate V, figs. 3, 5, 6). 
Many of the smaller tumours are hard and shot-like; some few 
are calcareous. The larger ones are soft, compressible and doughy, 
pitting freely on pressure. The tumours appear to be firmly 
attached to the wall of the intestinal tube. Provided the walls of the 
cyst are intact, very great pressure is needed to cause a rupture. 
In three of the tumours, the outline of a coiled worm can be seen 
lying underneath the tightly stretched membranous covering. 
At one place along the upper part of the ileum there is a triangular 
prolongation of the external muscular coat mid peritoneum, and, from 
the apex, the ends of two small worms can be seen projecting. (Plate 
fig 2 , fig. 4 shows the same x 8). On examining the attachment 
e m esentery to the ileum, a worm was found penetrating the 
mesentery; it had escaped from its cyst in the external muscular 
dyer and still had its cephalic end within the cyst cavity (Plate V.fig- 
10, x 8 ). 
1 ■ T, T?' ng LneSC no ^ u ^ es a small worm is found lying in a semi 
' r , rown mixture. Each cyst contains one worm; in m 
instance have two worms been found in one cyst. One tumour ma' 
be composed of two and, in some cases, three to four cysts. Th< 
worm ,s found lying either coded and twisted or stretched out. 
cenhaT A ? u ead IS dama ^ ed in Piling out the worm, as if its 
Sue Th ,r n embeddCd and fixed - ‘he -rounding 
the floor f 7 k r t PPearS *° COnSist ° f the peritoneal coat, and 
cyst whA h T ° f tHe eX ‘ ernal la yer (p. 68). A small 
partially dra S.°Pened_the two ends of the worm being 
rptSv fli r seen in piate iv ’ fig - ’• “ d *<=—* 8 
The intestinal tube was distenrl/*,-! -.v. 
bowel appeared to be sacculated with H ^ ^ ^ tW ° P ' aCeS 
°f the pouches (p. 61). The walls s 3 C ° nStnC “ 0n a ‘ the lower ends 
transparent, and, by transmif-f a ^ erned greatly thinned and very 
attached to the inside of the'bowel ^ n ° d “ IeS could ** seen 
The ileum at its .unction with the caecum is very contorted, and 
