DIAPHRAGMATIC HERNIA. 
She presently, however, broke out into a cold sweat. A sheet 
was then thrown over her; she lay quiet about ten minutes, when, 
after several attempts, she got up. Her flanks now worked vio- 
lently ; she rocked, her legs tottered, she stood trembling a minute 
or two, and then dropped as if she had been shot. 1 now hoped 
that the object was obtained, viz. a relaxation of the bowels. 
She lay quiet about a quarter of an hour, when she became as 
violent as ever. 
I then gave a pint of castor oil, with two ounces of spirit of 
turpentine. The pains increasing, I bled again, without measure, 
as she lay. I could not find any pulsation at the jaw from the 
commencement of the affair; and there was the most violent 
and peculiar lifting of the chest I ever saw. She died in less 
than five hours from the attack. 
Post-mortem examination . — On opening the abdomen, and 
tracing the small intestine, I discovered an opening in the left 
side of the diaphragm, through which six yards and a half of 
the small gut were drawn into the chest ; and the gut was so 
firmly strangulated, it could not be moved either way without 
danger of breaking. One part of it adhered to the posterior 
part of the diaphragm. The intestine within the chest was in 
the highest state of inflammation. The mesentery was torn in 
several places. There was also a tumour on the mesentery, 
which contained about a pound of dark coagulated blood, and 
about four quarts of blood were effused within the chest, which 
had flowed partly from the various lacerations, but principally 
from this tumour. Part of the small intestines within the abdo- 
men were slightly inflamed, and filled with flatus ; the other 
parts were tolerably healthy, except the liver, which had patches 
upon it similar to a sheep’s liver in the rot. 
This mare had been in Mr. S.’s possession about six weeks, 
had been dull, and fed delicately the whole time. She looked 
sleek of her skin, and in good condition, but had a languid pulse. 
On this account I had proposed a gentle purge ; but she could 
not be spared. 
She had been hunting with the fox-hounds three weeks pre- 
viously, carrying fourteen stone, and fell, quite exhausted, at a 
fence. She was in the field once after this, but had little to do. 
Might the breach have been made in the diaphragm when the 
mare fell at the fence ? 
