42 STRANGULATION OF THE ILEUM AND COLON. 
toms, but also remove those that had already appeared. The 
result, however, proved fatal, although the patient did not die 
until two days after the commencement of this second attack. 
By post-mortem examination I found a very singular strangu- 
lation of the ileum and colon, a delineation of which I have 
endeavoured to give you in the subjoined drawing. I consider 
the band (which I have termed ligamentous) by which the two 
bowels were constricted, to be a morbid deposition, and not a 
mere entanglement of the mesenteric membrane round their ex- 
ternal coats — a circumstance that sometimes follows from violent 
falling, &c., and it is chiefly on this fact that I ground the sin- 
gularity of the case. The mare was often found lying down while in 
the stable, and appearing to suffer some slight uneasiness in the 
interval between the first and last attack, and she was evidently 
and rapidly “ going back in her flesh” during all that time. This, 
however, did not materially lessen her appetite, not did it keep 
her from her usual labour. Both the stomach and bowels (with 
the exception of those in the immediate vicinity of the strangu- 
lated part, which were highly inflamed) were totally free from 
disease, but the abdominal cavity was nearly three parts full of 
effused fluid. 
A few hints from the editors, or their correspondents, as to the 
train of symptoms by which we may best ascertain the presence 
of intestinal strangulation would be exceedingly useful to the 
profession, and would confer much obligation on me. 
REFERENCES. 
a The ileum 
b Protrusion of the 
ileum 
c Ligamentous 
band 
d The caecum 
e Commencement 
of the colon. 
