:
the abdomen became soft, moved with respiration, there was no
sickness, and the bowels acted. The pulse fell to 90,
respirations to 20, and the temperature did not exceed 102 deg. F.
The wound suppurated freely, however, and although there were
no further signs of peritoneal septicaemia, it was evident that
general infection had taken place, and on the sixth day a
parotid bubo developed on the right side, which was opened.

On the seventh day the patient suddenly commenced to fail
rapidly; vomiting was almost continuous--at first curdled milk,
later frothy watery fluid--and on the eighth day he died. The
abdomen remained soft, sunken, and flaccid, and death no doubt
resulted from general septicaemia rather than from peritoneal
infection, absorption taking place from the large foul cavity
behind the colon. As the cavity in part surrounded the
descending duodenum, this possibly accounted for the attack of
vomiting which preceded death.

(181*) _Ascending colon._--Wounded at Graspan while lying in
prone position. _Entry_ (Mauser), over ninth rib in line of
right linea semilunaris; _exit_, in right buttock, just below
and behind the top of the great trochanter.

The injury was followed by little abdominal pain, but a strange
sensation of local gurgling was noted. The bowels acted as soon
as the patient reached camp, some hours after being wounded.
There was no sickness and nothing abnormal was noted in the
motions, except that they were loose and light-coloured.

On the evening of the third day the patient came under
observation in the ambulance train for Capetown. He looked
somewhat anxious and ill, but he complained of little pain; the
temperature was 102 deg., pulse 88, fair strength, soft and
regular. There was local dulness, tenderness, and deficiency of
movement in the right iliac region. As it was night, he was
removed from the train and an operation was performed the next
morning.

Prior to operation the condition was as follows: Pulse 84,
temperature 100 deg.; respiration easy, 20. Tongue moist, but
thickly coated in centre. Abdomen moves fairly, and is
resonant, except in right lower quadrant. No distension.
Dulness, tenderness, and rigidity in right iliac region, marked
to outer side of caecum. Entry wound nearly