DOUBLE METASTASIS. 
495 
suitable place in a field close by. Having had the skin removed, 
I proceeded to open the abdomen, when the escape of air was 
tremendous. The stomach was torn in all directions; the whole 
of its contents were floating in the abdominal cavity. I next pro¬ 
ceeded to remove the intestines, and immediately discovered, half 
protruded through an aperture in the stomach, the huge calculus 
as above described*. After removing the sternum, and viewing 
the contents of the chest, which seemed all beautifully healthy, 
and being perfectly satisfied as to the cause of death, I left the 
scene. 
DOUBLE METASTASIS; FROM BOWEL TO LUNG, 
FROM LUNG TO FEET. 
By Mr. BOUGHTON, Hounslow. 
August 13th, 1849. 
Sir,—If the following case of metastasis should be considered 
worthy of a place in your work, it is very much at your service. 
Perhaps, from its peculiarity, it may be interesting to some of your 
readers. I am, Sir, 
Your obedient servant, 
W. Percivall, Esq. P. BOUGHTON. 
April 2Mh, 1849, Nine A.M. —A GREY carriage horse, in good 
condition, five years old, belonging to Mr. Isaacs, was brought to 
me, suffering from super-purgation, the effect of an immoderate dose 
of aloes which had been administered on the 21st. The appear¬ 
ance of the animal betrayed great exhaustion. He was continually 
voiding large quantities of fluid faeces. His breathing was ac¬ 
celerated. His pulse at 90, small and wiry. He was placed in a 
well ventilated box, clothed warmly, and had his legs well rubbed 
and doubly bandaged. Creta comp, cum opio was administered in 
arrow-root every four hours, and in the evening, the second dose 
not having sufficiently checked the purgation, I gave kino comp, 
with catechu, in thick gruel. As much gruel was allowed as the 
animal would drink. 
25th .—The purging has subsided; but a violent inflammation 
has attacked the lungs. The animal breathes very quickly. These 
symptoms kept increasing in urgency towards the evening. I ap- 
* Whereabouts? —Ed. Yet. 
