3o0 ENTANGLEMENT* &C. OF TIIE INTESTINES. 
with fluid blood. On tracing this intestine, I was led to dis¬ 
cover the cause of the animal’s death. The parts displaying this 
curious phenomenon I carefully took out; and, on examination, 
found that the mischief consisted in an entanglement and stran¬ 
gulation of a knuckle of intestine by a pendulous fatty tumour, 
which had, by some means or other, fastened itself round dif¬ 
ferent parts of the ileum, so as to form a knot of a description 
that, at first, seemed to baffle all attempts to untwist it. 
The extraordinary appearance altogether presented by the in¬ 
testines, and the different colours they exhibited, induced me to 
engage Mr. Miller to make a cast of them, in situ; in w 7 hich he 
has succeeded to such perfection, that the cast, in its present 
coloured state, has been often taken for the parts themselves. 
The subject of this case was an aged gelding, remarkable for 
his beautiful symmetry and grand action ; and w 7 as considered by 
all judges to be one of the finest horses in the kingdom. His 
Majesty accidentally observed this horse in the streets some 
years ago ; and with that acuteness for which His Majesty has 
always been celebrated in selecting perfection in make and shape 
in horses, sent to purchase him ; ever since which period he has 
continued to be a valuable acquisition to H. M.’s saddle-stable. 
I may observe further, that the horse had, the day preceding 
his attack at night, merely taken his usual exercise ; and on the 
same evening had cleared out both his rack and manger. 
The lithograph accompanying the present number will serve 
to illustrate the pathology of the above very interesting case. In 
the middle of the plate will be seen, in the form of a crescent, 
the strangulated knuckle of intestine; and to the right of it a 
white qhord, running transversely, which was found to be a por¬ 
tion of the mesentery that had become twisted round, one double 
and two single convolutions of the ileum, and tied in a knot; 
which knot was kept tight and made fast, beyond any possibility 
of spontaneous rectification, by the pendulous fatty tumour grow¬ 
ing from the end of the chord. 
EXPLANATION OF THE PLATE. 
—The strangulated knuckle of intestine, which from stricture and ob¬ 
structed circulation had become green and gangrenous. 
b -—The continuation of the portion of the ileum (one of the small intes¬ 
tines) to which the strangulated part belonged. 
cc. dd .—Continuous portions of the same intestine (the ileum) also in¬ 
cluded within the stricture. 
e -—The chord which formed the stricture; consisting of a portion of the 
mesentery that had got twisted around the above-mentioned convolutions 
of intestine, and tied in a single knot. 
f -—t he fatty tumour growing from the end of this mesenteric chord; 
which, from its magnitude audits pendulous situation, constantly kept the 
chord so tight and the knot so fast, that it precluded all possibility of the 
parts spontaneously righting themselves. 
