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Case 2.-C. J. O'N., a man, aged 40, an executive, married, with negative family and previous history, was taken ill one year ago with pain and swelling about the rectum, accom¬ panied by constipation and general symptoms lasting several days. A diagnosis of ischiorectal abscess and fistula was made, and he was treated surgically ; the wound showed no disposition to heal, and he was referred to the junior author, who found the opening of a small tract on the skin, 5 cm. from the anal rim, and todoi:10.1001/jama.1919.02610120023011 fatcat:hezbucmluvbyfdd6zor7zahd3y