Hcrmorrhage on the Ovary. 283 



escape of blood into the peritoneal cavity. This may be sufficient 

 merely to stain the peritoneal fluid, or it may amount to one or 

 two bucketfuls as in cases recorded by Barrow and Palat. In 

 the absence of rupture the effused blood may completely surround 

 the ovary, or may accumulate in one or several of its distended 

 follicles. The effused blood is rarely septic, being usually free 

 from microbes, and it may remain fluid in the peritoneum, or 

 coagulate in the ov^xy. The enlarged follicle may contain a 

 dark red fluid, in which floats a .solid clot, varying in color from 

 dark red to light yellow, according to age. 



Symptoms. These vary greatly with the extent of the lesion, 

 and are always somewhat obscure. With slight interstitial or 

 intra-follicular effusion, there may be onl}' some general disorder, 

 with, it may be, arching and stiffness of the loins, colicy pains, 

 a desire for recumbenc}', and enlargement and tenderness of the 

 ovary on rectal examination. In more severe cases as noticed 

 by Cordonnier, Saucour and Palat in mares, by lyaponsee in the 

 ass, and Renault in the cow, there were shivering, hyperthermia, 

 respiratory and cardiac acceleration, congested mucosae, dull 

 colicy pain^, and anorexia, followed l)y indications of ancemia, 

 small, weak, rapid pulse, pale mucosae, coldness of ears and legs 

 (in cows, of muzzle and horns), violent heart action, indisposition 

 or inabilitj^ to rise, unsteadiness on tlie limbs when up, and in 

 some cases the escape of blood from the vulva. By rectal ex- 

 amination the enlarged, tender, doughy ovary may be character- 

 istic and the fluctuation of liquid in the peritoneal cavity, which 

 may also be recognized by manipulation of the flank. 



Treatment This should be directed toward checking the haem- 

 orrhage : Cold water or ice, on loins or flank : injections of cold 

 water : cold water or acids or astringents by the mouth : taiuiic 

 acid : iron chloride : niatico : gelatine : atropine, ergotin. By way 

 of quieting ovarian excitement, viburnum prunifolium or opium 

 may be tried. Sterilized solutions of gelatine niaj' be given sub- 

 cutem. Mustard or ammonia may be applied to limbs or flank. 

 In case of survival, castration will be indicated. 



