SIR,--In 1861, when I was Mr. Skey's house-surgeon, a woman, aged fifty-three, was brought in a state of collapse to St. Bartholomew's Hospital with strangulated femoral hernia on the right side of four days' duration. The protrusion was returned by the usual operation, but the patient died. On examination it was seen that the part strangulated had been the tip of the gall-bladder. The lower part of the thorax was very narrow and so elongated that the end of the last rib touched the crest of the ilium; the liver, deeply furrowed by the ribs, reached far into the iliac fossa; and the gall-bladder, which was filled with gallstones, protruded nearly four inches beyond the edge of the liver. The patient, her sister told me, had been for many years a noted tight-lacer. I hope this case, in which the gall-bladder was forced out of the abdomen into the thigh by tight-lacing, may help you to expose the dangers of this practice.--I am, Sir, yours, &c.,
May 318t, 1881.