The Canadian journal of medicine and surgery . This lias become in-creasingly tender and for the past week the exhaustion has beenextreme. Tliere liave been no nausea, vomiting, or stomach symp-tonis of anv kind. On examination I found the patient AcrymuQh emaciated, of a sallow tint, the mucous membranes werepale and it was with ureat difficulty that she could walk. Ju^t Canadian Journal of Medicine and Surgery. 5 above the crest of the ilium on the right side, extendino- into theright iliac fossa, a firm, irregular ami very tender mass can befelt. This is apparently situated in the cecum or
The Canadian journal of medicine and surgery . This lias become in-creasingly tender and for the past week the exhaustion has beenextreme. Tliere liave been no nausea, vomiting, or stomach symp-tonis of anv kind. On examination I found the patient AcrymuQh emaciated, of a sallow tint, the mucous membranes werepale and it was with ureat difficulty that she could walk. Ju^t Canadian Journal of Medicine and Surgery. 5 above the crest of the ilium on the right side, extendino- into theright iliac fossa, a firm, irregular ami very tender mass can befelt. This is apparently situated in the cecum or in the abdominalwall directly over the cecum. Extending upward from this isa tumor mass. When the patient came to me I told her husband,who is a physician, that it was useless to perform any operation,but that we could send her to the hospital for a weeks rest priorto her going away. During the week she gained considerablybut then had an intestinal hemorrhage and lost ground. I^e>again improved to some extent and wished to have something. figiup: ov the ceclm. The greater part of the piiture is occupied by the crator-like growth with undulaiingwalls. Its line of advancement in the ascending colon is indicated by u. Its encroaili-nient on the ileum by a. The pericecal fat i- infiltrated by discicet nodules as seen by h. done. It was only after a great deal of persuasion that we decidedto do an exploratory operation, not for a moment deeming thatit would be feasible to remove the growth. On June 18, 1905,she was very much improved in color and strength and her hemo-globin had increased to 60 per cent. The mass in the right iliacfossa was not nearly so tender as on admission. Operation, July 5.—The tumor mass involving the cecum wasfound freely movable. Xo enlarged glands in the mesentery orin the omentum could be detected, nor was there evidence of peri-toneal metastases. On account of the apparent limitation of thegrowth we decided to r»move it. The mass was
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