This is a Message Board Post that is gatewayed to this mailing list. Classification: Query Message Board URL: http://boards.ancestry.com/mbexec/msg/rw/jUB.2ACI/673.1.2 Message Board Post: I think they may have meant strangulation of the intestine, by a portion protruding through the hernia and having its circulation cut off. If strangulation of the respiratory system was involved the victim probably wouldn't have survived long enough for toxemia to set in, and the hernia wouldn't have been listed as a secondary cause. Either the original rupture or the protrusion of the intestine may have resulted from a seizure. Ned Smith