Case from the case-book of LINCOLN HOSPITAL, Washington, D. C.; Surgeon J. Cooper McKee, U. S. A., in charge.


CASE 404.—Private Martin O'Conner, 39th company, 2d battalion Veteran Reserve Corps; age 57; admitted August 16, 1864. Chronic diarrhœa. Died, September 15th, of convulsions. Autopsy fourteen hours after death: The vessels of the brain were much congested; a small abscess, the size of a large pea, was found near the surface of the left hemisphere about an inch from the median line; with this exception the brain appeared to be normal. The trachea was lined with tenacious purulent sputa​. The right lung weighed thirty-eight ounces; its lower lobe and the posterior portion of the upper lobe were in the stage of gray hepatization; the left lung weighed nineteen ounces. The heart weighed eight ounces and a half; its parenchyma and valves were normal; the right auricle contained a medium-sized fibrinous clot; no other clots were observed. The liver was of normal appearance, and weighed fifty-five ounces; the gall-bladder contained three ounces of molasses-colored bile. The spleen weighed five ounces and a half. The right kidney weighed five ounces, the left four and a half. The œsophagus was normal. [The condition of the rest of the alimentary canal is not recorded.]—Acting Assistant Surgeon H. M. Dean.