TREATMENT OF TUMOURS IN THE RECTUM. 355 
near the anus may easily be removed if not adherent to the mucous mem¬ 
brane of the rectum, a point which can at once be settled by introducing 
the finger or hand. Pedunculated tumours within the rectum offer no 
difficulty in removal, but those with broad bases are often impossible to 
extirpate. 
Treatment. Warts and other benign growths originating in the skin 
are simply removed with knife or scissors. Those growing from the 
subcutis or paraproctal connective tissue, if only small and -not attached 
to the mucous membrane of the rectum, are treated in the same way. 
After incising the skin with the usual precautions, the tumour is drawn 
well forward, either with forceps or by passing a tape through it, and 
dissected out without injuring the rectal mucous membrane. Tumours 
in the rectum itself are extirpated either by ligation or “ecraseur.” 
Serious bleeding is rare, and such as occurs can be controlled by cold 
clysters or tampons. 
Prey states having noted in the horse two sarcomata (?) as large as a hen’s 
egg close in front of the anus, which produced prolapsus ani. Kohne 
removed from the rectum of a horse by ligature a polypus whose seat was 
4 to 5 inches in front of the anus, through which it protruded during defalcation. 
In a second horse Kohne removed with the “ ecraseur ” a polypus the size of 
a man’s fist, which lay about 16 inches forward from the anus. Stockffeth 
states having seen cancer of the rectum in old cattle. Siedamgiotzky 
discovered in a gelding a cyst as large as a man’s fist lying on the lower wall 
of the rectum 6 inches from the anus; it discharged a cleai fluid on per¬ 
foration with the trochar. After injecting tincture of iodine, healing occurred. 
A similar case is described by Hierholzer. _ 
Truelsen removed from the rectum of a foal several polypi, which lay about 
two hands’-breadths from the anus, and had repeatedly caused constipation 
and colic. An improvised “ ecraseur ” was constructed of a canula and wiie, 
with which Truelsen removed the growth, and effected a cure. _ 
Frohner removed from a horse a serous cyst which had its seat on the 
upper wall of the rectum about 4 inches from the anus; he applied a silk 
ligature and snipped off the growth with scissors. . . 
Carogeau successfully operated on a mass of varicose veins involving the 
rectum and lower surface of the tail in a horse. Teetz in the case of a lioise 
laid open a cyst and obtained healing. 
A A 2 
