Case from the case-book of the SECOND DIVISION of the ALEXANDRIA HOSPITAL, Virginia, Surgeon Edwin Bentley, U. S. V., in charge. Autopsy was made and recorded in the case-book by Acting Assistant Surgeon Thomas Bowen:


CASE 457.—Private Azro A. Shippy, company E, 2d United States sharpshooters; age 41; admitted from the depot hospital of the 2d Corps, City Point, Virginia, November 2, 1864. Chronic diarrhœa. Died, November 20th, of pneumonia. Autopsy ten hours after death: Rigor mortis very great; body very much emaciated. Head, neck, and spinal column not examined. There were extensive pleuritic adhesions on the right side. A few small tubercles, not softened, were observed in the apex of the right lung; the lower lobe was generally in the first stage of pneumonia, but small portions of it were hepatized; there were old pleuritic adhesions on the left side posteriorly; the upper lobe of the left lung was normal, the lower lobe in the same condition as the lower lobe of the right lung. The pericardium contained about two drachms of serum. The heart was normal. The liver was normal; the gall-bladder contained about half an ounce of bile. The spleen was slightly enlarged. The pancreas and mesenteric glands normal. The cortical substance of the kidneys was pale. The mucous membrane of the stomach was congested; that of the jejunum normal; that of the lower part of the ileum thickened and very much inflamed. The mucous membrane of the colon and rectum was thickened, inflamed, and ulcerated in several places.—Acting Assistant Surgeon Thomas Bowen.