pulse, and from normal to subnormal in the temperature, were
noted, and death eventually occurred from septicaemia and
inanition.

(168*) Wounded at Driefontein. _Entry_ (Mauser), above the
posterior third of the left iliac crest, at the margin of the
last lumbar transverse process (probably through ilio-lumbar
ligament); _exit_, 1 inch below and to the left of the
umbilicus.

The patient was wounded at 3 P.M., but not brought into the
Field hospital until 9 P.M., when the temperature of the tents
was below 28 deg.F. He was considerably collapsed, suffering much
pain, and vomited freely. The abdomen was flat, but very
tender. Bowels confined. The column had to move at 5 A.M. the
next morning, when the temperature was still near freezing, and
during the day continuous fighting prevented any chance of
operation. The man steadily sank during the day, and died
thirty-six hours after the reception of the injury.

_Post-mortem condition._--Belly not distended, dull anteriorly
in patches, and right flank dull throughout. When the belly was
opened, extensive adhesion of omentum and intestine enclosing
numerous collections of pus were disclosed, and on disturbing
the adhesions a large collection of turbid blood-stained fluid
was set free from the right loin. The great omentum was much
thickened and matted, with deposition of thick patches of
lymph; very firm recent adhesions also united numerous coils of
small intestine. The pus was foetid, but no appreciable
quantity of intestinal contents was detected in it. The lower
half or more of the small intestine was injected, reddened, and
thickened. The wounds which were situated in the lower part of
the jejunum and ileum were multiple, and seven perforations
were detected; besides these the intestine was marked by
bruises, and some gutter slits affecting the serous and
muscular coats only. Considerable ecchymosis surrounded these
latter. The clean perforations were circular, less than 1/4
inch in diameter, and for the most part closed by eversion of
the mucous membrane. Intestinal contents were not apparent, but
escaped freely on manipulation of the bowel.

(169*) Wounded at Magersfontein. _Entry_ (Mauser), over the
eighth rib in the anterior axillary line; _exit_, 1 inch to the
le