Medical and surgical reports . e inflammation had subsided. Dr. Blake dissected out the sac,which contained a clear gelatinous fluid. The wound healed by firstintention, and on June 30 the patient was discharged, well. In England, where this condition is quite frequently seen,it is often spoken of as tailors bursa. Of course, en-largement of this bursa may be developed in any occupa-tion where the habit of sitting cross-legged is much have never before seen it in a roofer. Case IV. — syphilitic stricture or the bar-tender, fifty-three years of age, and single, entered
Medical and surgical reports . e inflammation had subsided. Dr. Blake dissected out the sac,which contained a clear gelatinous fluid. The wound healed by firstintention, and on June 30 the patient was discharged, well. In England, where this condition is quite frequently seen,it is often spoken of as tailors bursa. Of course, en-largement of this bursa may be developed in any occupa-tion where the habit of sitting cross-legged is much have never before seen it in a roofer. Case IV. — syphilitic stricture or the bar-tender, fifty-three years of age, and single, entered the hos-pital April 30, 1900, on the service of Dr. Cushing. His father had 148 UNIQUE SUKGICAL CASES. died of phthisis, and his mother of Brights disease. Five monthsbefore entrance his present ilhiess had started. He began to havepain after eating solid food, accompanied with nausea and symptoms not only persisted but increased up to the time ofadmission. Because of the distress which he knew it would cause. him, he refrained from taking any solid food for two or three months,during which time he took only milk and whiskey. Two monthsbefore he had vomited a mouthful of dark-colored blood, and fifteendays before a little more. There had been much loss in weight,constipation, cough with yellowish expectoration, anorexia, and UNIQUE SURGICAL CASES. 149 constant thirst. Tlie diagnosis of stricture of the oesophagus wasmade. Gastrostomy was performed by Dr. Munro, and the patientwas made tolerably comfortable for a while by feeding through thegastric fistula; but eventually he died, apparently from inanition. The following is a digest of such part of the autopsy records asapply to the condition of the oesophagus. The autopsy was made byDr. Mallory. The oesophagus is practically normal, except at thelower end, where it is constricted. The centre of constriction cm. to cm. above the irregular termination of the oesophagealepidermis. A small probe can wi
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