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and the tumor was withdrawn. It seemed to consist only of the swollen viagra generic 60 ileo-cascal valve, the intussuscep- tion having possibly been reduced by the enemata. Convalescence was uneventful. Case XII. Mr. Barker records, in the British Med- ical Journal Tor 1894, vol. i., p. 345, a case of intus- susception of the enteric variety, occurring during 1893, in a female infant, aged seven months, which came under observation thirty-six hours after the on- set. Abdominal palpation revealed a tumor. Ene- mata combined with manipulation having failed to effect reduction, laparotomy was performed, and the invaginated bowel, although strangulated, was easily reduced by pressure from below. Recovery followed the operation. Case XIII. Mr. Verrall records, in the British Medical Journal, 1893, vol. ii.. p. 1.375, a case f in- tussusception of the ileo-caeca' variety occurring dur- ing 1894, in a male infant, aged six months, which came under observation on the first day of the acute attack. Abdominal palpation revealed a tumor. Under anesthesia an enema of eight ounces of water was administered, the elevation of viagra generic 60 the reservoir viagra order line being two feet. This procedure had no effect on the tumor. Laparotomy was performed, and the invagination was reduced with difficulty. The bowels moved naturally the succeeding day, and the infant recovered. Case XIV. Dr. Beatley and Mr. Ridley record, in viagra order line the British Medical Journal of 1894, vol. i., p. 911. a case of intussusception of the ileo-cascal variety oc- curring during 1S93, in an infant, aged eleven months. When it first came under observation, it was stated that the infant's bowels had been deranged for eleven da\ -. Abdominal palpation revealed a tumor. Under chlo- roform narcosis enemata had been given at frequent in- tervals, but without viagra generic 60 result, and many hours of valuable time were thus lost. Laparotomv was performed The tumor was reached with difficulty owing to the in- testinal distention, but was easily leduced. Before the intestines could be returned within the abdominal cavitv they had to be incised to allow the gas to escape. The bowels moved on the second day after the oper- ation. The convalescence was retarded by the occur- rence of viagra generic 60 a persistent diarrhoea. Case XV. Mr. Lockwood records, in the Lancet ior June 3, 1S93, a case of intussusception occurring in a male infant, aged eight months, which came under ob- servation twenty-eight hours after the onset. Enemata were unsuccessfully tried under viagra order line chloroform viagra generic 60 narcosis. The first consisted of ten ounces of water with a head of two and one-half feet, and the second of twelve ounces with a head of three feet. Laparotomy was performed. The time required for viagra order line the administration of the enemata and the performance viagra order line of the laparotomy was thirty-five minutes. Case XVI. Mr. A. E. 1. Barker reports, in the viagra order line Brit- ish Medical Journal of 1894. vol. ii., p. 1.237, a case of intussusception occurring in a male infant, aged four months, which came under observation during January 18, 1896] MEDICAL RECORD. 1894, on the second day. Abdominal palpation re- vealed a tumor. The infant's general condition being bad, enemata were omitted. Laparotomy was per- formed and the invaginated bowel pressed out of the intussuscipiens. This manipulation injured the peri- toneal coat in several places. The caecum was darkly congested, swollen, and devoid of polish. The oper- ation was followed by little shock, and the bowels moved several times during the night, each movement containing less blood. viagra order line Convalescence was uneventful. Cask XVII. Dr. Ainsley records, in the Lancetiox 1S94, vol. ii., p. 1,247, a case f ileo-cajcal intussus- ception occurring in a male infant, aged eight months, which came under observation on the first day. When seen, the infant was collapsed. Abdominal and rectal palpation revealed a tumor. Inflation was unsuccess- fully tried under chloroform narcosis. Six and one- half hours after the onset laparotomy was performed, and the invagination reduced. The time required for the operation was forty minutes. Commenting on this case, Dr. Ainsley said: "The difficulty in unravelling the bowel, as well as its con- gested and (edematous condition, makes us believe that had the operation been postponed even for a few hours the chances of success would have been very seriously jeopardized. I am also persuaded that prolonged infla- tion or injection of water could have done nothing but harm." Case XVIII. Mr. Pollard records, in viagra order line the Lancet for 1894, vol. i., p. 473, a case of intussusception of the ileo-ca;cal variety occurring in a female infant, aged seven months, which came under observation on the first day. Rectal and viagra order line abdominal palpation re- vealed a tumor. The dejections had a gangrenous odor. Laparotomy was at once performed. The in- viagra generic 60 vaginated bowel was reduced with some difficulty, the infant's bowels acted naturally twenty hours later, and convalescence was uneventful. Case XIX. Mr. A. E. J. Barker records, in the Brit- h / Medical Journal 'for 1894, vol. i., p. 345, a case of intussusception occurring in a male infant, aged five months, which came under observation during 1894. Enemata were administered with apparent success, as the tumor disappeared, but it soon returned. Lapa- rotomy was performed, and the invagination was re- duced. Recovery followed the operation. (ask XX. Dr. Roberts records, in the Philadelphia Medical and Surgical Reporter of 1894, p. $.28, a case of intussusception of the ileo-ca-cal variety, occurring in an infant, aged nine months, which came under ob- servation on the fourth day. Enemata were first tried. Then laparotomy was performed, and the invagination