394 '^^'^ Management and Diseases of the Dog. 



condition : at one time being softer and lower in tempera- 

 ture, at another the reverse-. The presence of fluid was 

 always evident. On the latter date I made a most careful 

 examination, the patient being then considerably reduced 

 in flesh. The left tumour was at this time exceedingly 

 tense, hot, and larger than it had ever been ; moreover, the 

 bitch evinced pain, especially on manipulating it, and had 

 not been observed to micturate with her usual frequency. 

 I at once determined to explore this particular tumour with 

 a fine trochar. This I inserted at the right of the nipple, 

 and when withdrawn there came through the canula a full 

 stream of hot urine, altogether nearly a breakfast cupful. 

 With this evacuation the enlargement entirely disappeared, 

 and nothing remained but the mammary gland. The other 

 tumour also became less, owing, doubtless, to removal of 

 the pressure consequent on the distended bladder. All 

 doubt now as to the nature of the tumours was at an end. 

 It was clearly a case of double rupture ; the sac tapped 

 contained the greater portion of the bladder, with probably 

 a small knuckle of intestine, while the opposite tumour was 

 entirely intestinal. The peritoneal rupture on either side — 

 which it was previously, notwithstanding careful manipula- 

 tion, owing to the size and fulness of the enlargements, 

 impossible to detect — could now be distinctly felt. 



The following morning the same state of affairs existed, 

 and again I passed the trochar with a similar result, repeat- 

 ing the operation for two or three days. In the meantime 

 she was prepared for an operation, which I performed on 

 the 28th ; Mr. C. A. Newnham, surgeon, who kindly 

 assisted me, also his son, and several gentlemen who took 

 an interest in the case. 



The bitch being put under the influence of chloroform, 

 and placed on her back, and the hind parts lifted a little off 

 the table to facilitate the reduction of the hernia, I made a 

 longitudinal incision to the right of the nipple. On divid- 

 ing the sac, intestine alone was visible, and the absence ot 



