DISEASE OF THE RECTUM. 
559 
DISEASE OF THE RECTUM. 
By R. Blake, M.R.C.Y.S. & H.P.V., M.A., Wimborne, Minster. 
Dear Sir, — Should the following case prove of any in- 
terest, I should feel obliged by your giving it insertion in 
your valuable journal. 
On the 14th of July last, a chesnut cart-horse, the property 
of Mr. John Carlton, of Cow Grove, aged 5 years, and of 
considerable value, was sent to my stable to have a dose of 
physic, as he seemed, as the owner remarked, “ rather queer. 5 ' 
I observed the horse, in passing his faeces, strained violently, 
grunted, and seemed in great pain : the rectum also was 
becoming much inverted, its mucous membrane, in rugae as 
thick as my wrist appeared, and w r ere highly congested. 
An examination per rectum disclosed several deep ulcera- 
tions in the floor of the rectum, in which were a few red 
bots, the (Estrus Hemorrhoidalis . The sinuses extended 
anteriorly between the rectum and bladder; the intestine 
was excessively hot, and attempts at evacuation very frequent ; 
bowels constipated, from eating ripe vetches, with rough rusty 
stalks ; pulse full, 50 beats per minute ; straddling gait, and 
stamping with hind legs. Under these circumstances, and 
with the ow T ner ? s permission, I kept him in my stable under 
treatment till the 17th of August, when he w r as discharged 
“ well,” and fast recovering his pristine condition, although 
he had got excessively thin and weak for the first three w T eeks. 
The treatment consisted in allaying constitutional irritation 
by bleeding, sedative and laxative medicines, opiate enemas, 
&c.,from the 14th to the 17th ; pulse then 65, and full, rolling 
about in great pain ; venesection 6 quarts, gave an anodyne 
draught, and an enema with 3ij Ext. Belladonnae, applied a 
blister to abdomen, which gave relief. On the 18th, an 
examination^^ rectum disclosed another sinus running back 
to the perineum ; strains frequently ; faeces covered with pus 
and streaked with blood ; great fetor ; horse is wasting fast. 
Injections every two hours of tepid w 7 ater, with Sol. Chlor. 
Calc., this w 7 as continued in till August 3d, on which and 
the previous day he w T as more uneasy. I examined him 
again carefully, per rectum. An abscess is now discharging 
a little on the left side of the other sinus (which is filling up 
fast), the opening into the intestine just admits a finger, with 
wTiich some solid substance, loosely attached, is discovered. 
The opening is dilated, and the substance removed, w-hich 
proved to be the w 7 alls of an abscess, about Jth of an inch in 
thickness, a complete bag, containing, I should think, up- 
