258 manner, bnt there was no constipation, the bowels being opened forty-eight hours before operation. On admission, and for several days before, the patient sufl'erfJrl intense Constitutional depression, and became feverish and very exhausted, but there was no vomiting, nor did he complain of much pain. When taken into the hospital, he was in a state of extreme prostration and collapse. The right scrotum was enlarged, swollen, tender, and of a dusky red hue. Chloroform was administered and the

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... sac cut down upon and opened. The tissues of the scrotum were found thickened and infiltrated; the hernial sac was distended with about half a pint of turbid, fetid serum, and large masses of recent lymph. The neck of the sac was quite