Lymphorrliagia. 1119 



Appendix. 

 Lymphorrhagia. 



Etiology. In liorses and cattle, and exceptionally in otlier 

 animals swellings develop sometimes in a short time, in variable 

 number and extent, containing a clear lympli-like fluid which may 

 be mixed with dead tissue shreds. According to Hoffmann and 

 Dratschinsky these swellings are due to tears between tlie skin 

 and fascia or between muscle and fascia, produced by some con- 

 sideral)le injury Avhieh has a pushing or pulling action. Into 

 these tears lymph flows from the torn lymph vessels and is mixed 

 with the torn tissue particles. (Astrachanzew found once in the 

 lymph a worm 5 cm. long, which he believed to be a kind of 

 Filaria medinensis.) 



Ba^yer has seen lymph effusions in a cat, in circular arrangement 

 around the nipples ; the lymph vessels were dilated. 



Symptoms. Sometimes the swellings form successively In 

 the course of several days and produce marked changes in form 

 if they become confluent. In the case of a cow, reported by 

 Zonda, which had broken down beneath an ox, swellings like those 

 just described formed on the lower abdomen, on the chest and 

 on the internal aspect of the thighs, all in the course of four 

 days. Although the appetite is not impaired the animals rapidly 

 become emaciated, owing to the loss of nutritive material. The 

 swellings are not painful or warm, but they show fluctuation if 

 situated superficially. After incision a clear, yellow odorless 

 lynipli flows out, or sometimes a dirty yellow or reddish, ill- 

 smelling fluid which is mixed with tissue shreds. The quantity 

 may be considerable. 



Treatment. The swellings are usually treated by incision, 

 removal of the l>anph, irrigation of the cavities with disinfecting 

 solutions or the application of disinfecting powders, finally the 

 application of a compressing dressing. Sometimes continued 

 irrigation of the cavity with lukewarm solutions of corrosive 

 sublimate is of benefit (on opening such swellings there is 

 always danger of septic infection [Johne]). If the skin has 

 been loosened over a large extent it may have to be sutured to 

 the underlying tissue. Small swellings disappear on the appli- 

 cation of warm compresses and massage. The patients must be 

 nourished generously. 



Literature. Astrachanyew, A. f. Vet.-Wiss., 1893. 204. — Dratschinsky, ibid., 

 1904. 787. — Hoffmann, Z. f. Vk., 1897. 1. — Vennerholm, Svensk Vet.-Tirlpskr., 

 1904. IX. 537. — Walley, J. of eomp. Path., 1892. 360. — Zonda, Vet., 1894. 369. 



