Abstract
For the notes of the following case I am indebted to Dr. Hamilton of Smethport. C. W., aged 52, a bookkeeper, always enjoyed good health until four years ago, when he had an attack of appendicitis, which confined him to his bed about a week, and from which he recovered. A week prior to the date of my summons, he ate inordinately of apples, mince pie and other indigestible viands, and an attack of acute indigestion followed, merging gradually into a pronounced attack of appendicitis. I found the temperature nearly normal, the pulse slow and full, the facial expression good, and the patient almost free from pain. The tongue was heavily coated and the abdomen resistant and tender to pressure. A mass was felt under McBurney's point. The patient felt better than for several days, and was almost reluctant to consent to operation. On opening the peritoneum a quantity of
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