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Mr. Christian G. aged 76; Danish. Paralyzed on the entire left half of his body. The patient had a severe fit of sneezing, which was followed by protrusion of the gut through both rings into the scrotum. Family physician was called on the evening of the second day after the accident. He found the gut strangulated, and all efforts at reduction proved futile. Consultation was had, with the result that nothing could be done for him in consequence of his age and infirmity. I was asked to see the case, which was the evening of the third day following the accident, when I attempted to reduce the tumor under an anæsthetic, which proved to be impossible. Anxious relatives urged that something in the way of an operation be done to reduce his suffering. I agreed with them, and consented to operate at once. I called three assistants, and after a