In a case diagnosed to be haematemesis from portal thrombosis, in the presumed absence of pylephlebitis, an exploratory laparotomy, with the precautions suggested, might well be undertaken, and if the occluded condition of the splenic vein and the absence of pylephlebitis were confirmed, an attempt might be purchase made to avoid the fatal issue by In the allied condition of intestinal haemorrhage from thrombosis of the superior mesenteric vessel, the only hope would seem to lie in increasing the collateral circulation: a suitable lateral anastomosis would not only provide for this, but also short circuit the part of the bowel rendered liors de combat temporarily by the thrombosis.

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