Spontaneous Separation of an Intussusceptum with Recovery

perature 99?F., pulse 100 per minute, respiration 34 per minute, abdomen distended, slight rigidity on the right side about the lumbar and the iliac region, agonizing pain occurring in spasms, and slight tenderness over this area, but nothing suggestive of general peritonitis. No tumour was palpable. The case was regarded as one of acute bacillary dysentery at the time of admission, but one noticeable feature was that he did not have, as is usual in dysentery, any tenderness or pain in the region of the pelvic colon. It was thought that the ascending colon was the seat of invasion. Repeated stool examination showed nothing typical, the typical cellular exudate of bacillary dysentery was absent and on the contrary Charcot-Leyden crystals were found in the stools. With this indication emetine was instituted as the line of treatment, with a saline purge every morning and bismuth carbonate in