A careful survey of the literature on extreme resection of the small intestine reveals a surprisingly small number of reported cases. From this survey it is apparent that in most instances reports are made only of successful cases. Because of the extent of bowel removed, as well as the opportunity for subsequent observation, the following case is considered sufficiently important to be recorded. REPORT OF CASE History. —E. L., a man, aged 36, a laborer, admitted to the Memorial Hospital, Niagara Falls, June 12, 1926, with an essentially negative past history, had been seen first at his residence, where he had been seized during dinner with a sudden sharp pain across the lower portion of the abdomen. This pain was followed by vomiting of food which had just been taken. When the patient was seen shortly after the onset, he was suffering from intense abdominal pain; the abdomen was slightly