520 DISEASES OF THE URINARY ORGANS. 



mation, threatening mortification, coming on, a ligature was 

 passed round the mass, including the portion of bladder be- 

 hind the ureters, with directions for it to be tightened from 

 time to time. This caused the reduction in volume of the 

 parts until nothing but a particle remained behind the liga- 

 ture : this was subsequently cut through without hemorrhage. 

 The parts anteriorly, immediately retracted, and the vulva 

 completely closed upon them. The annoyance now was the 

 continual streaming of urine down the thighs, which was at 

 length directed outward by the contrivance of a gutter of 

 tin, fixed within the vagina. In six weeks the mare resumed 

 her work. — * Veterinarian,^ vol. xiv, p. 501. 



Mr. Leech, V.S., Asbourne, met with a similar case in 

 1847, which proved fatal. He was requested to attend an 

 aged cart-mare, who had foaled but a few days before, in 

 consequence of her having " put her reed down.'^ On exa- 

 mining her, he found that instead of the protruded mass being 

 the uterus or " reed,^^ it was the bladder which had become 

 inverted. It was much inflamed and tumefied; but not- 

 withstanding, a little distance from its neck, could be seen 

 the termini of the ureters, from which orifices the urine was 

 every now and then ejected, trickling down the legs and 

 excoriating them. I passed a strong ligature around the 

 neck of the bladder, taking care to be behind the ureters, 

 and then directed to bleed and physic, &c. The ligature was 

 tightened every day. On the sixth day afterwards, I cut off 

 the mass behind. It weighed seven ounces. Symptoms, how- 

 ever, inclined me to the belief that mortification had set in, 

 and three days from this operation she died. " The neck of 

 the bladder and the part that had been anterior to the liga- 

 ture was four or five times thicker than in health, and was 

 in a state of sphacelus J' 



