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I again opened the abdomen, this time to the right of the rectus, and found the gall-bladder much distended. It was full of what looked like London mud. There were no gall-stones. I put in a tube and drained it. I had the contents of the gall-bladder examined. bacteriologically and a paratyphoid bacillus was grown. Dr. Hunt described it as a member of the typhosus and coli group, but certainly not distinctly belonging to either. After the second operation she made an uneventful recovery and she is now quite well. I suppose the two conditions were connected and both were due to this paratyphoidbacillus. But I am quite unable to explain how the sigmoid inesogolon could become so oedematous without apparent change in the gut. If it had been a thrombosis I should have expected gangrene to have followed.

Case of Inoperable Carcinoma of the Rectum Becoming Operable under Radium Treatment