317 some dark coagula. At the greater curvature, and nearer the pyloric than the cardiac end, a round cleanly-punched hole, the size of a fourpenny piece, was discovered. On washing the organ and carefully examining the place where this solution of continuity had occurred, the mucous and muscular coats showed a crater-like ulceration. The edges of the ulcer were smooth, rounded, vascular, and elevated above the surrounding tissue. Its narrow apex and funnelshaped basic expansion towards the

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... us surface, when carefully looked at, seemed in terrace-like irregularities, and an amorphous or finely granulated substance covered these strata of the tissues.