incapacity to control loose motions, though solid ones could be
retained. The retention was treated by catheterisation, which
was followed by cystitis. The power of micturition was slowly
recovered, and three weeks later he could pass water, at times
in a dribbling stream only; the cystitis had improved. The man
returned to England very much improved, but not quite well, at
the end of five weeks.

(193) Wounded at Modder River. _Entry_, in the right buttock,
near the outer border at the upper part; _exit_, at the lower
part of outer border of left buttock. The line of the wound
exactly crossed the position of the anus, but no sign of injury
to the rectum could be discovered.

(194) Wounded at Magersfontein. _Entry_ (Mauser), 1/2 inch
below the margin of the iliac crest, at the junction of its
middle and posterior thirds, and on a level with the fifth
lumbar spinous process; _exit_, below the cartilage of the
eighth rib, just within the left nipple line. Struck while
retiring; fell at once, and remained thirty hours on the field.
Patient stated that he vomited 'blood like coffee grounds' six
times while lying on the field, and twice after being brought
in. His bowels were confined for three days. His right lower
extremity was paralysed.

On the fifth day there was considerable induration around the
wound of exit, and the upper half of the abdomen was immobile
and tender. The temperature rose to 100 deg., and the pulse was 96.
Shortly afterwards a similar condition was noted in the lower
half of the abdomen; the temperature continued to be raised and
the pulse quickened, when on the thirteenth day a considerable
quantity of pus was passed per rectum, and diarrhoea set in;
this continued for three days, with marked improvement in the
general symptoms. Micturition, which had been painful, became
normal; the pulse and temperature fell, and the expression
became less anxious. The patient continued to sleep badly,
however, and complained of pain.

At the end of the third week he still looked ill, but was
easier. Temperature normal in the morning, 100 deg. in evening,
pulse 80. Tongue thickly furred, but moist. Still on milk diet;
appetite bad; bowels irregular.

The abdomen moved little in the lower half, induration
persisted i