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


CASE 405.—Private James Long, company K, 4th New York artillery; age 37; admitted from the army of the Potomac August 24, 1864. Pleuro-pneumonia. Died, September 17th. Autopsy an hour and a half after death: The brain appeared to be normal. The right pleural sac was filled with serum mixed with pus, which coagulated on standing. The trachea was normal. The right lung was very much compressed, being about the size of the shut fist, and was covered by a thick layer of fibrin; on section it was found to be carnified, and a small abscess, about the size of a hazel-nut, was observed in its substance; it weighed ten ounces and a half; the left lung was apparently normal and weighed fifteen ounces. The œsophagus, stomach and small intestine were normal. The colon and cæcum were congested. The rectum was ulcerated in several places. The spleen weighed seven ounces and a half; its substance was firm. The liver weighed seventy-one ounces and a half; in its right lobe was an abscess about the size of a large hen-egg, the rest of the organ appeared to be normal; the gall-bladder contained twenty-two drachms of bile. Both kidneys appeared to be normal; the right weighed five ounces and a half, the left six and a half.—Acting Assistant Surgeon H. M. Dean.