A Case of Chronic Intestinal Obstruction Due to Tuberculous Cicatricial Constrictions of the Jejunum

The patient (male, tet. 35), when admitted to hospital, 2Gth December, 1913, was suffering from intense pain over the greater part of the abdomen, of which the respiratory movements were somewhat restricted. There was no visible peristalsis. On palpation there was some tenderness. No tumour could be felt. The temperature was 101*4 and the pulse 120. The only history which could be obtained from the patient was that of occasional fever, and great abdominal pain frequently relieved by vomiting, half an hour after food, during the previous six months. On the morning after admission the temperature was normal and pulse 100. During the next eight days the temperature varied daily '5? on either side of the normal line and the pulse ranged between 100 and 108. On the evening of the following day the temperature ran up to 104'5, the pulse reaching 120. Next morning the temperature was normal and the pulse 9G, but in the evening the temperature was again 102'5 and the pulse 112. During the next two days the temperature was normal, the pulse varying between 114 and 102. Since admission the patient frequently had great abdominal pain relieved by vomiting soon after even liquid