Victorian medical tools brass and Ivory with felt lined wooden case.
It is not listed by Elizabeth Bennion in Antique Medical Instruments book.
Surgical irrigation, Stomach pump, Veterinary drench, Opthalmic wash, non gravity Embalming mortuary pump, even a Victorian Bong, all been suggested.
Yet it remained for the Director of The Surgery Museum Of London U.K. to kindly identify this as an Enema tube.
A rare pump Lavage instrument.