374 CLINICAL VETERINARY MEDICINE AND SURGERY. 



85. In the Veterinarian for 1845 is described a case of strangulated 

 phrenic hernia in a mare, whose history for eighteen months prior to 

 death did not disclose any accident, and yet autopsy revealed a 

 fractured rib, to which the displaced intestine was firmly attached. 

 The opening in the diaphragm was only " large enough to admit the 

 thumb." 



Mr. Gabriel's case. 



CANCER OF THE STOMACH. 



86. An eleven-year-old mare, brought for examination on the 5th 

 June, 1894. 



The only information tendered was as follows : Had been in the 

 owner's possession for several years, and always worked satisfactorily 

 until the 3rd June. No digestive trouble, nor sign of any disease 

 whatever had been noted previous to that date. Suddenly the animal 

 appeared depressed, uneasy, and without appetite. It had coughed a 

 little. 



State on Examination. — The patient was prostrate ; the mucous 

 membrane injected; the respiration rapid (18 to 20 per minute), the 

 pulse small (70), the rectal temperature 39'6° C. 



Percussion of the chest was painful, and revealed slight dulness of 

 the lower half of either side. On auscultation of this region the 

 vesicular murmur was diminished. The heart-sounds were feeble and 

 irregular. The abdomen was slightly painful on palpation. The mare 

 was regarded as suffering from pneumo-enteritis. 



Treatment. — Bleeding, mustard plasters, alcohol, digitalis. 



During the night the symptoms became aggravated. The pulse 

 rose to 75° C, the respirations to 40. The patient refused all food. 



On the morning of the 6th June the condition was still graver. The 

 mare was extremely depressed, and occasionally scraped the ground 

 with her foot. The conjunctiva was deep red ; the respiration short, 

 tumultuous, and discordant. Nothing fresh could be discovered on 

 auscultation or percussion of the chest ; the walls of the chest were 

 still very sensitive ; the heart-sounds feeble ; the pulse was scarcely 

 perceptible. There was slight muscular trembling, especially opposite 

 the point of the elbow. Temperature 39*2° C. Half an hour later the 

 condition suddenly became alarming. The patient looked extremely 

 anxious, lay down and rose again several times with great care, then 

 suddenly groaned, leaned against the wall, rolled from side to side, and 

 fell heavily. The necks and limbs became stiff, the face drawn, the 

 respirations more and more rapid, and death occurred after a short 

 struggle. 



Autopsy. — Several quarts of reddish liquid in the abdominal cavity. 

 Lesions of peritonitis ; different portions of the serous membrane, and 

 especially of the epiploon, were congested and hjemorrhagic. The 

 pleural cavity contained a certain quantity of liquid resembling that in 

 the peritoneal, and showed similar changes to the latter. The viscera 

 were congested and dotted over with ecchymoses. These changes 

 were secondary, and had been produced by a septic process originating 

 in the stomach. 



