GOE&ED STOMACH. — TYMPAHT. 321 



intestines into the chest, is a result as likely to happen as rup- 

 ture of the stomach itself; indeed the former occurs more 

 frequently perhaps of the two. In two cases which have come 

 under my care I found both these organs ruptured ; but which 

 organ iu either case became ruptured the first I am unable to 

 state : the probability is, however, that in both, the diaphragm 

 and the stomach were burst simultaneously. The general 

 symptoms of Rupture of the Diaphragm in every instance are 

 very similar to those detailed as present in rupture of the 

 stomach ; but in aU cases where the lesion is attended with an 

 escape of a portion of the intestines into the chest, there is this 

 important difference : the breathing is difficult — leing short, 

 catching, and svferfidal. Whichever side of the chest the intes- 

 tines may occupy, the lung on that side will be compressed, and 

 this in turn will partly suppress its respiratory murmur, so that 

 a careful examination of the chest will perhaps enable the obser- 

 ver to detect the difference in the murmur between one side 

 and the other. Sometimes both lungs are compressed from 

 the same cause, in which case the respiratory murmur of both 

 organs will necessarily be partly suppressed. 



Eupture of the Diaphragm may occur after the death of the 

 patient ; or it may take place, and the animal live twelve or 

 fourteen hours after its occurrence ; or the stomach may be 

 ruptured, and the horse live for a like period. These are facts 

 which I have observed on numerous occasions. 



Teeatmettt. — The treatment of Gorged Stomach may or 

 may not be a hopeless task ; this will altogether depend upon 

 the extent of the engorgement, and the constitutional vigour 

 of the animal. I have treated numbers of cases where the 

 attack, from the commencement to the death of the patient, 

 did not extend over two hours. One case of this nature which 



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