REPORT OF A CASE History. —J. C., aged 34, an Italian, married, salesman, entered the New York Hospital, First Surgical, or Cornell, Division, in the service of Dr. Gibson, Jan. 25, 1925. His chief complaint was pain in the right side of the abdomen of two weeks' duration. Two weeks before entering the hospital he began to have dull pains in the abdomen in the epigastric region. They were not severe, and he continued to work until four days before admission to the hospital. At this time there was a sudden onset of sharp pain in the epigastrium, and he became faint. His bowels had not moved, and he took an enema. Soon after its introduction there was another sharp pain in the epigastrium, quickly shifting to the right hypochondrium. The pain was somewhat relieved by the enema, but later became so severe that he called a physician, who gave