An individual, fifty-two years of age, came under medical treatment for severe pain and vomiting after food, with progressive loss of flesh. Haematemesis had occurred at intervals, and there was marked cachexia. In the epigastrium a round tumour the size of a small apple could be felt, which was dull on percussion, movable, and slightly tender. The diagnosis was obscure, and opinions varied between enlarged spleen, a floating kidney, and malignant disease of the stomach or transverse colon. Death occurred from exhaustion at the end of three years. At the necropsy the tumour was found to be within the stomach, and to consist of a kidney-shaped mass of vegetable matter weighing twenty-nine ounces, with two other masses, each about the size of a hen's egg.-Kooyker.