he injury was followed by pain in the left half of the abdomen
and vomiting, which continued for two days. The bowels acted on
the third day; no nourishment was taken for two days, but a
small quantity of water was allowed. No further symptoms were
noted, and at the end of a fortnight the patient was well,
except for slight local tenderness. The bullet could not be
detected with the X-rays.

(186) _Wound of caecum_.--Wounded at Paardeberg. _Entry_
(Mauser), 2 inches diagonally above and within right anterior
superior iliac spine; _exit_, immediately to the right of the
fifth lumbar spinous process; the patient was lying on his left
side when struck. A burning pain down the right thigh
immediately followed the accident, and lasted some days. There
was no sickness, the bowels were confined three days, and there
was pain across the back and down the thigh.

On the tenth day he arrived at the Base, when he was lying on
his back suffering considerable pain. The temperature ranged to
101 deg.. There was diarrhoea and cystitis, with a considerable
amount of pus in the urine, which was very offensive. A small
fluctuating spot existed on the back, just to the right of the
original exit wound which was firmly healed. The abdomen moved
fairly with respiration in its upper part, but was motionless
below, especially in the right iliac fossa; some induration was
to be felt here. The right thigh was kept flexed.

During the next few days the pus disappeared from the urine,
and with this change the induration in the right iliac fossa
increased. An incision (Mr. Gairdner) was made into the
fluctuating spot behind, and pus evacuated. The patient
recovered.

(187) _Possible wound of caecum._--Wounded outside Heilbron.
_Entry_ (Mauser), in the right loin, 2-1/2 inches above the
iliac crest, at the margin of the erector spinae; _exit_, 1-1/2
inch above and within the right anterior superior spine of the
ilium. There was little shock. The patient was brought six
miles in a wagon into camp, and slept comfortably with a small
morphia injection. Prior to the accident the patient was
suffering from diarrhoea, but afterwards the bowels were
confined. The next morning there had been no sickness and
little pain. The tongue was moist and clean, the pulse 80,