614 CASES OF PROLAPSUS OF THE BLADDER, &C. 
During the summer of 1845, as I was riding past Ketcham’s 
Inn, I saw a crowd of men surrounding a mare in a field. I 
went over to them, and found a mare, the property of Mr. Harris, 
unable to foal. The legs of the foetus were protruding, and the head 
was turned back. My services not being solicited, I passed on ; 
but, before doing so, I pointed out to Mr. Harris the urinary bladder 
of the mare, which was hanging out from her vulva. 
In about six hours afterwards I was called to see this mare, and 
found the foal had been extracted by Mr. Harris and one of his 
neighbours, and the bladder returned. This mare did well, so far 
as prolapsus of the bladder went . 
Case II. — In the month of June last I was sent for to assist a 
mare to foal, the property of Mr. Langford, of Waterfall, a village 
eight miles distant, situate midway between Leek and Ashbourne. 
On examination, I found the fore legs of the foal protruding, and 
the head turned back, as in the former case. But this was de- 
formed, the neck being crooked, and was become a fixture. The 
urinary bladder of the mare had likewise made its appearance. 
As various attempts had been made by others to bring the head of 
the foetus into the natural position without success, I determined at 
once to dissect away the fore legs and shoulders. This was done, 
and the head afterwards brought forward with hooks, &c. It took 
me just twenty-five minutes to accomplish all this, and bring the 
foal away. I returned the bladder several times during the ope- 
ration, but the throes of the mare instantly protruded it again. 
The foal having come away, 1 once more proceeded to return 
the bladder ; but, had I persisted in the attempt, it is my opinion 
she would have died under my hands; I was therefore obliged 
to leave Nature to herself. The bladder had become as red as 
blood, from congestion. I ordered that the parts should be con- 
stantly fomented with warm water containing a solution of opium. 
Anodyne medicine was administered — purges and diuretics avoided 
as dangerous — the regimen bran mashes — the beverage water- 
gruel ; and, the mare’s comfort and quietude being attended to as 
much as possible, I left her for the night. On the following 
morning I found the urinary cyst had returned to its natural site, 
and that she voided her urine naturally ; in fact, the mare alto- 
gether was doing well, and she ultimately did well under the 
treatment that had been pursued. 
Remarks . — It may be doubted by some, whether it was in 
reality the urinary bladder which made its appearance in these 
cases. I am confident it was in the latter, the entire placenta hav- 
ing been immediately removed after the foal. All the cases of this 
kind that I have met with have been in the mare and sow, having 
never seen one in the cow, sheep, or dog. 
