This is a womens’ Etui Case. The Etui Case contains items for daily grooming use. This one includes a corkscrew, bodkin, tweezers, knife, scissors, pencil, fork, an earpick, and an ivory writing board. It is made of metal and ivory with a leather cover for the case. For source and more details, click here.
Image from: http://www.cr.nps.gov/museum/exhibits/revwar/guco/gucowomen.html