Excerpt from Flatulence and ShockIn the Lancet for October 26, 1912, there is given, on p. 1167, an account of a case of intestinal obstruction, the result of abdominal injury, in which, at the necropsy, no relevant lesion was found. There are also valuable references to Nothnagel's Encyclopaedia, and to a case reported by Drs. Kempe and Browne, wherein the early meteorism and con stipation passed off, to return later and necessitate laparotomy. In the same issue of the Lancet there is a letter from Dr. Donald Hood, which is deeply interesting. Dr. Hood insists that we are apt to overlook the fact that, in many cases, the maximum effect of arterial disease is purely local.

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