690 STRANGULATION OF THE INTESTINES. 
alternately, and thus partly raised himself, so as to press 
his abdomen against the ground. Once he fell as though 
shot, but instantly rose again. There were remissions from 
pain and sometimes for as much as a quarter of an hour at a 
time, but at others for a very few minutes only. The horse 
neighed frequently and loud, and he appeared likewise to be 
suffering from intense thirst. 
With the existence of such alarming symptoms as these, 1 
could scarcely entertain a hope of alleviating, much less of 
successfully combating, the disease. Venesection, however, 
was attempted, but after the extraction of five pounds of dark 
coloured venous blood, the animal staggered so much that 1 
deemed it expedient to arrest the bleeding. 
I should certainly have given immediate trial to a copious 
enema of tobacco-smoke, for I have found this, in urgent cases, 
to be invaluable ; but, unfortunately, there was no “ Reid’s 
Patent Enema Syringe,” or other suitable instrument at the 
time in store. 
On the following morning, I was surprised to find my 
patient still alive. He was, however, pulseless at the jaw, 
but the heart was beating violently, and in number from 
90 to 100 in a minute. His head, neck, and extremities 
were deathly cold. The original diagnosis, that strangulation 
of the intestines existed, was fully confirmed in my mind, 
and I expressed my opinion accordingly. 
The horse was frequently attacked with rigors ; and finding 
that the bladder was full, a flexible catheter was employed to 
draw off its contents, when about three pints of healthy 
looking urine was extracted. When the instrument was 
first passed into the bladder, he ejected, with a spasmodic 
action, a small quantity of a highly offensive, and greenish 
coloured fluid, through both nostrils. 
Almost immediately after the withdrawal of the catheter, 
he again laid down, resting on his near side. He continually 
looked round, also, at his side. His flanks heaved, and his 
eyes betokened a kind of hopeless resignation. 
He remained down the greater part of the morning, when 
he afterwards rose, and at 2 p.m., just twenty-three hours 
after his admission, he fell down and died almost without a 
struggle. 
The post-mortem examination, discovered a complete 
strangulation of two portions of the Ileum, by a peritoneal 
band, which passed partly across the small lobe of the liver. 
About three yards and a half of this intestine, extending 
towards the caecum, were in a black and gangrenous state 
rom the strangulation. 
