nd the lower part of the abdominal
incision closed.

The patient stood the operation well, and was removed to his
tent; during the day, however, two thunder showers occurred
during each of which water, several inches if not a foot deep,
rushed through the camp. After the second flood he was removed
to the operating room, the only house we had, and slept there.
The pulse rose to 120, and respiration to 26, and there was
pain, which was subdued by 1/3 grain of morphia, administered
subcutaneously. A fair amount of urine was passed, and the
bowels acted once, the motion containing blood.

On the second day after operation there was some improvement;
the pulse still numbered 116, and the temperature was raised to
100 deg., but the belly moved fairly, and pain was moderate.
Abundant foul-smelling, bile-stained discharge came from the
wound when the plug was removed. Rectal feeding was
supplemented by small quantities of milk and soda by the mouth.

The condition did not materially change, but on the fourth day
it was evident that the suturing of the stomach wound had given
way, and liquid food escaped readily when taken. The discharge
remained bile-stained and very foul. No extension of
inflammation to the general peritoneal cavity occurred, but it
was evident that the patient was suffering from constitutional
infection from the foul wound, the lower part of which opened
up somewhat after the removal of the stitches on the seventh
day. The wound was irrigated three times daily with 1-300
creolin lotion, but remained very foul. The man slowly lost
strength, although escape from the stomach considerably
decreased. On the tenth day a sudden severe haemorrhage
occurred, presumably from a large branch of the coeliac axis.
The bleeding was readily controlled by a plug, and did not
recur; but the patient rapidly sank, and died on the twelfth
day after the operation, and fourteen days after reception of
the injury. No _post-mortem_ examination was made.

2. _Wounds of the small intestine._--These were comparatively common,
but offered little that was special either in their symptoms or the
results attending them. Wounds were met with in every part of the small
gut; but I saw no case in which an injury to the duodenum could be
specially diagnosed.

As to the sympto