358 ON FLOODING AND INVERSION OF THE UTERUS 
the action ceased. Next morning, in company with Mr. E. Bailey, 
on consultation, we ordered her to be killed, finding the womb in 
a state of putrescence, pulse imperceptible, and the tide of life fast 
ebbing. This was a spontaneous case, as no interference, neither 
difficult parturition, or in the secundines, were experienced; trifling 
hemorrhage. The accident was observed four hours before I was 
called in to the patient. 
Case 2. — Belonging to Mr. Scott, butcher, here ; several years 
ago, three hours after an easy calving, without any interference, 
the womb became inverted : reduction was accomplished, not, how- 
ever, without much difficulty. A large steel pin with two points, 
formed in the shape of a staple, with screws and nuts, was intro- 
duced through the labia pudendi; the nut, screwed moderately 
tight, prevented the protrusion of the tumour : no flooding. Cured. 
Case 3. — By Mr. T. Walker, Rothley. Complete inversion of 
the uterus, the property of Mr. Sketchley. She calved without 
difficulty, and the placenta came away naturally in the course of 
two or three hours, and every thing appeared right ; but on the 
following morning, about five o’clock, she was found with the 
uterus turned inside out : the cotyledons were large, and pre- 
sented a red appearance, and, on being touched, bled profusely. An 
attempt was made to return the uterus, but it was found imprac- 
ticable, on account of violent straining ; to prevent which, and to 
put her in a more favourable position for the operation, she was 
raised by means of ropes affixed to her hind legs, and passed 
over a beam in the byre, so as to elevate her hind parts upon 
some battens of straw, by which means, and a little manual dex- 
terity, the uterus was replaced. She was then allowed to rise, 
and a proper leather truss applied and secured to a surcingle passed 
round behind her fore legs, which effectually prevented any re- 
lapse. Opiates were administered to prevent straining, and some 
purgative medicine to counteract symptomatic fever, which after- 
wards took place. With this treatment she eventually recovered ; 
milked well during the summer ; and the following winter was fed 
for the butcher without the symptom of any return. 
Case 4. — By Mr. E. Bailey. States that in 1839 he had a case 
of chronic inversion of the uterus : the previous history of the ani- 
mal not known, it being bought at a fair. Had not recently calved 
or given milk. I found the uterus protruded the size of a man’s 
head. Lanced and fomented the uterus before any attempt was 
made to replace it : after much perseverance effected the replace- 
ment. Much straining was present, but an opiate had the de- 
sired effect; afterwards gave opening medicine. The cow was 
kept in the house a few days ; and then, all seeming to be going 
on well, turned out to grass. Three days after she was brought to 
