A Curious Case of Ascites

was given. The bowels moved slightly and he came home. Again he had the constipation, and the abdomen began to distend gradually. He consulted several local doctors, and every one gave him either purgative or carminative. A week after his arrival at home, I was called in and found his abdomen extremely distended and the man was restless. Suspecting it to be a case of obstruction, I hesitatingly gave him some antispasmodic combined with an enema. When about two pints of the water was introduced it became unbearable, and as the fluid was not coming out of itself, I inserted my two fingers and opened the anus to make passage for the water to come out. This gave him slight temporary relief, but the bowels were as constipated as before. The