3-25 
t 
TWO CASES OF STRICTURED AND STRANGU¬ 
LATED INTESTINE WITHIN THE ABDOMINAL 
CAVITY, WITH PATHOLOGICAL OBSERVATIONS 
THEREON. 
By Wm. Percivall, US'., 1st Life Guards. 
CASE I. 
ON Monday morning, July, 1827, I was called to attend a little 
black horse, the property of Col. H-, upwards of twenty 
years of age, and supposed to labour under a sudden attack 
of gripes.’’ The animal was seized with the malady while 
at exercise, and had, since his return to the stable, mani¬ 
fested extreme abdominal pain, by continually lying down and 
rising, and at inteiwals rolling upon one side, in which posture, 
supported by his legs against the side of the stall, he appeared to 
obtain some temporary relief, his head, however, still often turn¬ 
ing towards his flank. His pulse was 70, but not thready; his 
res])iration was also accelerated, but not remarkably disturbed. 
He neither rolled, nor lay upon his back; nor did he toss about 
in any violent convulsions. He had been observed to stale, but 
no dung had passed from him that morning. I ordered that he 
should instantly lose a large quantity of blood; take pulv. opii sj 
in boh; and be raked, and have a copious injection. But little 
dung, however, was found in the rectum. 
Towards the afternoon the symptoms abated, and he continued 
apparently relieved. At half past eight p.m. I saw him for the 
last time: his breathing and pulse had not suffered any abate¬ 
ment ; notwithstanding, the animal betrayed no actual pain nor 
internal uneasiness, neither by action nor in countenance. Cont. 
enem. 
At the hour of five on Tuesday morning, the groom, on entering 
the stable, found him suffering under a violent relapse, in which 
paroxysm of pain he died before I could be brought to his 
assistance. 
—Considerable serous effusion (about 3 or 4 gals.) 
into the abdominal cavity. About a foot in length of the ilium 
forming a duplicature strangulated, by being included and tightly 
strictured within a fold of an elongated portion of mesentery, 
from which grew, by a neck, a fatty tumour, as large as the egg of 
a goose, and weighing six ounces. The portion of mesentery 
forming the neck or root of the tumour was, I found, simply 
twisted around the ilium; but the parts had become so aggluti 
