Scirrhus Recti in India—The Liability of Mistaking Chronic Dysentery for This Disease

Personal history. ? Arrived at this station from Bangalore suffering from inflammation of the left inguinal glands. At Bangalore he had dysentery and ulceration of the rectum. About a year ago he was admitted to hospital for inflammation of the inguinal glands; but there is no certain history of syphilis. No note of any previous admission for dysentery. On admission?It was noticed that he was suffering from considerable tenesmus, with complete inability to retain his fasces, which were liquid and consisting of mucous blood and slime. Under treatment control over the sphincter partially returned, and the motionslost their liquid character. His condition was one of great debility and considerable emaciation. Coustipatiou followed, and the bowels were only relieved by large doses of castor oil, given every other day. Induration of the left inguinal glands and bluish red discolouration of the skin over them, with cicatrix and puckering in one part. October 10th.?There is a note by the Surgeon in charge of the case: "Evidently some constriction about the sphincter, which is extremely sensitive and cannot even bear the introduction of the nozzle of a glass syringe for an enema."