INVERSION OF THE UTERUS OF A MARE. 439 
also told me that a man had assisted the mare in foaling, and 
that the foal was dead. I inquired if any person was left in care 
of the animal to prevent her injuring the womb, when, much to 
my surprise, he informed me there was not. I, however, 
could not blame him for this oversight, as he was so much 
excited as not to take ordinary precautionary measures. After 
despatching the messenger with instructions to call up some 
men at the adjoining farm to assist in the necessary operation, 
I started to see my patient. When I arrived I found her 
standing in the loose box in which she had been placed. 
She was not straining; but the uterus was inverted to its 
fullest extent and lacerated very much. The hemorrhage 
also was very great from the parts. After administering a 
fair dose of the watery solution of opium, I had cold water 
continually applied to the uterus and vulva, when with the 
assistance of a young farmer, I commenced my manipulations 
with a view to replace the womb. Our hands were protected 
with cloths, as great care had to be taken that the organ was 
not further injured. By applying gentle pressure to the central 
part, while my assistant was compressing the sides of the organ, 
I ultimately succeeded in replacing it. This done, I kept my 
hand in the womb for some time and had the cold water 
externally applied. Within a short time the uterus began to 
contract, after which the hemorrhage was arrested. Finding 
also that the mare did not attempt to strain, the cold affusions 
were discontinued. She was afterwards clothed and made as 
comfortable as the circumstances would allow of. A person 
was also left in charge of her, with instructions to immediately 
report should any untoward event occur. Before leaving, 
a mild aperient was given. The pulse at this time was weak 
and numbered about 70 ; but the symptoms were favorable 
on the whole. 
28th. — The pulse had sunk to 65 ; there was no straining, 
and only a slight discharge from the vagina. The bowels 
had been relieved. Ordered a dose of Liq. Ammon. Acet. 
29th. — I did not see her to-day; but gave instructions for 
similar treatment to be continued. From this time she went 
on well, the bowels only requiring to be kept relaxed, with a 
view of checking febrile action. A muzzle was also used 
to prevent her eating the straw, as I only allowed her a mash 
diet. She was discharged from further attendance on the 
5th of April, and continued to go on well. 
To Professor Spooner. 
