Case from the case-book and medical descriptive lists of the HAREWOOD HOSPITAL, Washington, D. C., Surgeon Thomas Antisell, U. S. V., in charge from October, 1862, to September, 1863:


CASE 268.—Private Nathan L. Brown, company C, 4th Vermont volunteers; admitted September, 1862. Chronic diarrhœa. Died, October 31st. Autopsy: The viscera of the thorax were normal. The stomach was pale, but otherwise healthy. The lower part of the duodenum appeared somewhat congested. The jejunum and ileum were congested in patches, the intensity of the congestion increasing toward the ileocæcal valve. The colon and rectum were very much inflamed; in the ascending colon there were five ulcers, a large one at the commencement of the descending colon, and another, which appeared to be granulating, in the rectum. The mucous membrane of the rectum was thickened. The liver was normal. The spleen considerably enlarged and very much engorged with blood.