374 
CASE OF ENTANGLEMENT AND STRANGULATION 
OF THE ILEUM. 
By Mr. N. P. Leigh, V. S., Bristol . 
In the early part of the present month, I was sent for to attend 
a well-bred aged mare, the property of a gentleman, a short dis¬ 
tance from this city; but being absent from home on professional 
business, did not see the animal until 8 o'clock p. m., three hours 
after she was seized, and which occurred immediately on her be¬ 
ing placed in the stable, having been ridden, and that very slowly, 
for two hours previously. On my entering the stable I found the 
mare labouring under violent spasms of the bowels, constantly 
pawing the ground, plunging, lying down, and also suddenly 
turning her head round to the near side with great anxiety : pulse 
forty, ears and extremities warm; she had staled, though a less 
quantity than usual; and two small watery evacuations from the 
bowels escaped before I arrived. Considering the case to be 
cholic or gripes, I immediately administered the usual antispas- 
modic medicines ; w hich having afforded the mare no relief in 
three hours, I tried the effect of one ounce of laudanum in a pint 
of thin gruel, and a large clyster of salt and water, which soon 
came away without any feculent discharge. The violence of the 
disorder continuing, at 12 o’clock p. m. I ordered five quarts of 
blood to be taken aw r ay, and the following laxative draught to be 
administered: R Glauber salts eight ounces, dissolved in a pint of 
boiling water; half an ounce of carbonate of soda; one pint of cas¬ 
tor oil; and one ounce of sweet spirits of nitre. Clysters of thin 
warm gruel and a small quantity of salt every two hours; legs 
kept warm by bandages, and the abdomen rubbed with the 
hand, &e. 
At 3 o’clock a.m. the spasms had abated, and the animal lay 
dow n in apparent ease, and so continued for four hours ; when on 
visiting her again at 10 o’clock a.m. the pulse had considerably 
quickened, with a cold clammy perspiration extending over the 
whole body, head, and extremities; great uneasiness, constantly 
walking around the box, and quite insensible to every thing; half 
the laxative draught was again given, and blood abstracted to the 
quantity of two quarts, which aggravated more than alleviated 
the symptoms; and I immediately desisted. Large flannels 
dipped in very warm water were constantly applied to the abdo¬ 
men, and afterwards the mustard embrocation. The mare get¬ 
ting worse, I suspected an introsusception of the intestines, and 
that mortification had taken place; and about 2 o’clock p. m., nine- 
