the large bowel
could be discovered here. On enlarging the incision upwards
three openings were found in a coil of jejunum, probably that
about five feet from the duodenal junction usually provided
with the longest mesentery. No fourth opening could be found.
The openings were circular, about 1/3 inch in diameter, clean
cut, with a ring of everted mucous membrane, and the wall of
the bowel in the neighbourhood was thickened. All three
openings were included within a length of 2-1/2 inches. There
was no surrounding ecchymosis of the bowel wall. Very little
escaped intestinal contents were found in the situation of the
bowel. The latter had apparently been retracted upwards, and
lay to the left of the lumbar spine. The wounds were readily
closed by five Lembert's sutures, three crossing the openings,
and one at each end. The belly was then washed out with boiled
water and closed. The delay in finding the wounds due to the
mistaken impression that they would be found in the pelvis
materially prolonged the operation, which lasted an hour and a
half. The patient never rallied, and died seventeen hours
later. It is possible that a wound in the sigmoid flexure was
present which had already closed at the time of operation.

(166*) Wounded at Magersfontein. _Entry_ (Mauser), opposite
central point of left ilium; _exit_, 1-1/2 inch above the
centre of the right Poupart's ligament. Vomiting commenced soon
after the injury, and this was continuous until the patient's
arrival in the Stationary hospital on the fourth day, when the
condition was as follows:--

Face extremely anxious in expression. Temperature 101 deg.,
sweating freely. Pulse 110, fair strength. Tongue moist.
Abdomen much distended, rigid, motionless, tympanitic
throughout. Bowels confined. No urine had been passed for
twenty-four hours, [Symbol: ounce]ij in bladder on
catheterisation, clear, and containing no blood.

Abdominal section. Median incision. A considerable quantity of
bloody effusion was evacuated. Intestine generally congested
and distended. No lymph. Two wounds were found in the ileum on
the opposite sides of one coil; the openings were circular,
with the mucous membrane everted. No escape of faecal matter was
visible until the intestine was delivered, when intest