STRANGULATION OF THE INTESTINE. 279 



large as the egg of a goose, and weighing six ounces. The 

 portion of mesentery forming the neck or root of the tumour 

 was, I found, simply twisted around the ileum." 



Again I may quote from Mr Field's Notes, in which I 

 find: 



" On the 1 2th January, 1 824, a bay gelding was brought to 

 the hospital, with symptoms as follow : very frequent pulse 

 much uneasiness sitting on the hind quarters at times 

 snorting severely belly not full. He was bled immediately, 

 and a mixture composed of ol. lini Jxij, and ol. croton, gtt. 

 ix, was given; the belly was stimulated, and clysters admin- 

 istered. At night the pulse was scarcely perceptible the 

 mouth was discoloured the extremities had become cold, 

 and the belly was beginning to distend. He shortly after 

 died. 



"Upon examination after death, twelve inches of the ileum 

 were found strangulated by an elongation of the omentum, 

 one of the epiploic glands being considerably enlarged, and 

 forming part of the ligature; the entire portion of strangu- 

 lated intestine was gangrenous ; the intestines and peritoneum 

 throughout were highly inflamed, and there was some blood 

 effused into the belly." 



In 1829, Mr Goodwin, then Veterinary Surgeon to the 

 King, contributed a very interesting paper, with an excellent 

 sketch, illustrating the lesion under consideration. 



It is the most satisfactory illustration of the lesion yet pub- 

 lished, and indicates how firmly the intestine may be tied by 

 any structure which is long enough to wind round the con- 

 volutions ; a circumstance due as much to the weight of the 

 tumour as to the length of the peduncle. 



The annexed engraving is a copy of the above-mentioned 

 sketch : 



