Abstract
Patient. —H. E. R., aged 40, locomotive engineer, on Dec. 24, 1903, jumped from his engine, which was about to leave the track. He struck on his feet, which slid out from under him, allowing him to fall heavily on his buttocks. Examination. —Dr. R. A. Kerr, of Peoria, who examined him the same day, reports very large left inguinal ring. No previous history of hernia. No protrusion of abdominal contents. About a month later I saw the patient and he plainly had, at that time, a left inguinal hernia. I arranged to operate on him at a later date to suit his convenience. On the right side, there was no sign of a testicle either in the scrotum or in the inguinal canal, and the patient said there never had been. Operation. —June 16, 1904. After making the usual incision, a thick-walled sac, containing much fat, was separated,
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