MORBID ALTERATIONS IN THE GENITAL ORGANS. 



335 



nous round tumor. In order to make an examination, it was necessary to push the tumor 

 as far forward as the uterus, and then it was ascertained that the head of the foetus was 

 turned towards its back, the nose being directed to the sub-lumbar region of the 

 mother. The head was brought down, a cord was passed behind the occiput and the 

 ears, and on this being pulled at the head and neck were put straight. Then the left 

 hand of the operator keeping the tumor in the interior of the uterus, in front of the pelvic 

 inlet, the assistants pulled at the cords, and without much trouble — owing to the large 

 size of the pelvis and smallness of the foetus — brought away a living and well-formed 

 calf. • 



Parturition being thus happily accomplished there remained the tumor, which was 

 found to be attached by a short, but very thick pedicle within and almost on the lower 

 border of the os, to the left side. Owing to the mobility of the uterus, the tumor could 

 be withdrawn outside the vulva, and there it was fixed by the hands of two assistants, 

 while Fleuiy passed a long sacking-needle, furnished with a long and very strong thread, 

 through the middle of its pedicle, and in this way enclosed this portion in a tight double 

 ligature. By tv>'o cuts of a bistoury the pedicle was then divided a short distance from 

 the ligatures, and these, with the mucous membrane dragged out by the tumor, being 

 immediately put back in the vagina nothing was seen of ihe operation save the ends of the 

 thread which were purposely left outside the vulva. 



In twelve days after the operation the Cow was discharged as cured. 



The tumor was oblong, irregular on the surface, hard and resisting, and divided into 

 two unequal lobes by a deep fissure ; it was covered by mucous membrane, though this 

 was only loosely adherent to it. In its largest diameter it measured more than ten 

 inches, and it weighed over twelve pounds. It grated when cut into by the bistoury, as 

 if it was an unripe apple, and a yellow serous fluid escaped from its interior, which was 

 hollow near the end opposite the pedicle. Around this cavity the fibrous tissue — soft 

 and rose-colored — yielded by pressure a greyish opaque fluid which was miscible in wa- 

 ter, and was not found in any part of this growth. Seven-tenths of the mass was com- 

 posed of a dense dull-white fibrous tissue disposed in irregular striae or in concentric 

 tufts. 



Watson (F'^^'<'r/«rt:r/a«, vol. xlv., p. 174) gives the history of a sheep-dog which had 

 been in labor for a day, but could not deliver itself because of what the owner called the 

 " pup-bed " coming out. This had been frequently returned, though it caused the poor 

 animal great pain, which was only relieved when the mass was again extruded. On 

 examination, a tumor as large as a hen's egg was found protruding from the vagina. 

 " At first sight it had every appearance of an everted bladder," but on manipulation it 

 was discovered to be a firm fibrous tumbr, v/ith a long pedicle extending into the 

 vagina. A ligature was applied to the neck of the tumor, and this was removed by the 

 scalpel : tincture of opium enemata were administered, and in about an hour three 

 puppies were born. The bitch afterwards did well. 



15. To Barbenoire and Arloing [Journal de Med. Viterinaire de Lyon, 1868, p. 76) we 

 owe our last example of this kind of tumor. A Cow thirteen years old, which had 

 calved in a natural manner fifteen months previously, and was supposed to be again 

 about five months pregnant, was suddenly taken ill. Suspecting abortion, Barbenoire 

 introduced his arm into the uterus, the os of which, strongly contracted, had to be pre- 

 viously incised ; there he found an enormous hard tumor, which he vainly endeavored 

 to extirpate. The animal died next day, after suffering for four days ; the cause of death 

 appeared to be due to metrorrhagia. The tumor, on a post-mortem examination, was 

 discovered to be entirely confined to the uterus, with the exception of a somewhat 

 voluminous " appendice," which was found to be strangulated at the origin of the left 

 cornu. into which it was prolonged. 



Arloing examined this morbid production and described it as follows : An oval, 

 uneven surfaced tumor, traversed by grooves or fissures, one of which deeper than the 

 others, limits the appendice mentioned by Barbenoire as extending into the left horn ; and 

 studded by small fibro-vascular prolongations by which, no doubt, it grafted itself on the 

 uterine walls. Its longitudinal diameter measures 35 centimetres (nearly fourteen 

 inches), transversal 20 centimetres (nearly eight inches), audit weighs about 6,610 kilo- 

 grammes (about fifteen pounds). The tissue of which it is composed is hard, resisting, 

 and grates under the scalpel : it has a fibrous aspect ; its density is pretty much the same 

 throughout ; and its color is in general a dull white or nucrous tint, with here and there 

 light red down to carmine and violet points, according to the degree of vascularization. 

 This vascularity is very considerable on the surface of the tumor, but diminishes as the 

 centre is approached. Examined miscroscopically, the neoplasm is found to be formed, 

 throughout the whole of its mass, of fine long parallel fibres, on whose course are seen 

 dark-colored dilatations corresponding to the nuclei which the caustic soda has rendered 

 visible. These fibres are joined in bundles, which cross each other in various directions. 



