The next case was forwarded on medical descriptive lists from the FIRST DIVISION of the ALEXANDRIA HOSPITAL, Virginia, Surgeon Charles Page, U. S. A., in charge:


CASE 440.—Private Amos Stork, company A, U. S. Engineers; admitted from the army of the Potomac January 10, 1864. Diarrhœa. The patient was extremely emaciated, had no appetite, and was in a typhoid condition; his stools were small and fetid. There was no vomiting, and he did not complain. He died January 16th, at 6 P. M. Autopsy: The thoracic viscera were healthy, except that the heart was small. The stomach was normal. The mucous membrane of both the small and large intestine was ulcerated; in the jejunum there was an invagination about three inches long, and another rather larger in the ileum. The mesenteric glands were diseased. The spleen was enlarged. The liver and kidneys were normal; the gall-bladder was empty.—Acting Assistant Surgeon W. Leon Hammond. [No. 44, Medical Section, Army Medical Museum, is from this case. The specimen is a portion of the jejunum, which presents a well-marked invagination, but no evidences of peritoneal inflammation.]