Remarkable case of tumor of the vermiform appendix, developed in a left inguinal hernial sac containing cxeum. This tumor was of a fatty nature, ac cording to histological examination. In the centre was found the appendicular canal, still permeable; it was, probably, a submucous lipoma. Josserand (Lyon Med., Jan. 3, '92).
Case of large fibrolipoma of the de scending mesocolon observed. Twelve centimetres of the large intestine were resected in removal of the growth. Death followed from shock. Duret (Jou•. des Sci. Med. de Lille, Apr. 8, '92).
In a man who died at the age of 55 years was found a double row of black ish prominences on the large intestine, containing fcal matter, solid, but not very hard. They were so many diver ticula of the intestinal cavity, some in the mesocolon or the mesorectum, others in the pedicle of the epiploic fimbrim. The first degree of these small hernim of the mucous membrane was visibly constituted by the normal prominences of the intestine, the largest attaining the size of an ordinary marble. These diverticula began at the colon and from there extended, augmenting in number and volume, to the rectum. Pilliet (Bull.
de In Soc. Anat., No. 6, '94).
These growths often give rise to no symptoms. Sometimes the symptoms are indefinite and equivocal. Among the most common manifestations are hazmor rhage, anwmia, diarrhoea, with mucous and blood in the stools and indications of intestinal obstruction.
Treatment.—The treatment of new growths of the intestine is exclusively surgical. Benign neoplasms may de mand no interference, even though they may be multiple. Symptoms of obstruc tion of the bowel would indicate oper ative intervention. Malignant growths should be removed, if possible, as soon as recognized, providing all of the disease can be excised without compromising life and if metastasis to other organs have not taken place. With the enterectomy may be conjoined some form of intes tinal anastomosis, or it may be necessary to establish an artificial anus. The same procedures may be required also for the amelioration of symptoms and, perhaps, the prolongation of life if a radical oper ation is no longer practicable.