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D NOTICES OF BOOKS I57 approximates to that of the ileum and the wall of a Meckel's diverticulum contains muscle. A narrow neck to the diverticulum (Sherren, 1909; Boldero, 1958 ; present case), tethering of the fundus (Duncan, 1956; Boldero, 1958; present case), and a valve-like fold of mucosa at the opening of the diverticulum into ileum (Boldero, 1958) are all factors which tend to produce stagnation. Fowweather (1955) believes that gut-stones often form around a nidus of foreign body such as a plum stone or tomato skin. Subsequent gut-stones may form around a fragment broken off the original stone.
In only one of the recorded cases of gut-stones in Meckel's diverticulum was this the case (Quenu, 1921). No such nidus was found in the present case.
A case of Meckel's diverticulum containing multiple gut-stones is presented. T h e literature is reviewed and this shows it to be a rare condition. T h e aetiology, chemistry, diagnosis, and complications of gut-stones in Meckel's diverticulum are considered.
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