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


CASE 418.—Private James Pilock, company B, 20th Indiana volunteers; age 18; admitted from the depot hospital of the 2d Army Corps, City Point, Virginia, December 16 , 1864. Chronic dysentery. Treatment: Tonics, alteratives, and counter-irritants. Died, January 12, 1865.—Acting Assistant Surgeon John Morris. Autopsy five hours after death: Height five feet seven inches; body rigid and very much emaciated. The larynx and trachea were normal. Both lungs were firmly adherent to the diaphragm, and presented evidences of slight bronchitis in their lower lobes; the right lung weighed eight ounces, the left eleven. The heart weighed six ounces and a half; its right side contained a very large fibrinous clot, the left side a long vermiform one. The liver, spleen, and kidneys appeared to be normal; the liver weighed fifty-one ounces and a half; the spleen five ounces; the kidneys four ounces each. The lower part of the small intestine was very much congested; a diverticulum, two inches long and half an inch in diameter, was found five feet and a half above the ileocæcal valve. The mucous membrane of the large intestine was studded with ulcers.—Acting Assistant Surgeon H. M. Dean.