591 
INVERSION OF THE UTERUS, &c. 
we should take care not to be too prodigal of the blood of our 
patients. We should not uselessly shed it, nor, in fact, except 
the abstraction of blood is clearly indicated ; but I cannot help 
thinking I have demonstrated, that, in strangles, as well as in 
other inflammatory affections, it is required ; and we should not 
be restrained from bleeding by any foolish fear or ridiculous pre- 
judice, when the state of the patient and the character of the 
disease indicate its necessity.” 
Doctrine Physiologique, p. 380. 
INVERSION OF THE UTERUS, AND RUPTURE OF 
THAT ORGAN AND OF THE VAGINA IN A COW. 
By M. Dandrieux, of Nerac. 
On the 19th of April 1835, I was sent for to see a cow that 
had been in labour twelve hours. I found her lying on her left 
side, her head stretched out, and every limb extended at its full 
length. From time to time she made violent efforts to expel the 
foetus, and these efforts were followed by spasms of the limbs. 
Her time of utero-gestation was passed by several days. 
After having in vain attempted to get her up, I examined her 
very carefully. The pulse was full — the eye staring — the pupil 
dilated, and the respiration somewhat accelerated. I introduced 
my hand into the vagina, and found, near the neck of the uterus, 
two of the legs of the foetus, which, pressing against the right 
side of the vagina, had ruptured it, and which were entangled in 
the rupture. 
With some difficulty I disengaged them, and returned them 
into the uterus, that I might the more readily find the head of 
the foetus. It was easily found, but it was depressed below the 
brim of the pelvis, and the throat alone presented itself at the 
neck of the womb. This false position rendered it very difficult 
to extract the foetus ; at length, however, I contrived to bring 
the head into the passage, along with the fore legs. I then 
waited for the return of the pains, in order that the calf might 
be expelled ; but I waited in vain for this, for the cow was ex- 
hausted by the throes of twelve hours duration, and I was compelled 
to endeavour to procure their return by pulling gently at the foetus, 
but previously to this I administered a bottle of warm wine, which 
she readily swallowed. Her pains soon returned, and, taking 
advantage of them, the foetus was extracted. I soon afterwards 
extracted the placenta, after which we endeavoured again to 
raise the cow, who had recovered a little strength, and was licking 
her calf. We, however, could not get her up ; and fearing, from 
