A CASE OF ACUTE APPENDICITIS, FOLLOWED BY EMBOLISM OR THROMBOSIS OF LEFT EXTERNAL ILIAC ARTERY, WITH DRY GANGRENE OF LEFT FOOT AND LEG.

History. —Sept. 17, 1906, Mr. G., aged 57, a large, fat, previously active and supposedly healthy man, was attacked with pain in the abdomen. He went to his store on the morning of September 18, but was unable to remain the whole day, and I was summoned to see him in the evening. He was suffering considerable pain in the abdomen, which was rigid in the appendiceal region, with marked tenderness on pressure over appendix. There was fever and acceleration of pulse to a moderate degree. This man had enjoyed exceptionally good health, was not addicted to alcohol, but used tobacco to a moderate extent. He was a merchant and was able to live comfortably and without undue strain or exposure of any kind. His arteries were not sclerotic. Two years previously he had an attack of facial erysipelas of a severe type, from which he made a good recovery,