CHRONIC LESION OF THE DIAPHRAGM. 
703 
you will see by the parts sent, had evidently been of long 
standing, existed in the diaphragm, and that through it the 
intestines had protruded, consisting of the duodenum and a 
portion of the jejunum. The bowel was so much strangulated, 
as to be of a perfectly black colour. It was also so much en¬ 
larged, that 1 could not extricate it from its situation ; I 
therefore removed the whole mass together. 
The coachman, who has been more than twelve months 
with his master, says that nothing has been amiss with 
this animal before. On one occasion, some months ago, 
he ran away in London, but was not thought to have sus¬ 
tained any injury. I am of opinion, however, that the lesion 
in the diaphragm took place at that time, for there is no ap¬ 
pearance. of its being a recent rupture . 
I have only once before seen a similar case. The animal 
was the property of Sir John Lister Hayes, of Denby Grange, 
near Barnsley. The case occurred in 1837, at Sheffield, when 
I was assistant with the late Mr. Peech. The patient, a mare, 
had been hunted in Leicestershire all winter, and on her return 
home, stopped all night at the “Tontine,” Sheffield. We 
saw all the horses at 6 p.m., and remarked to the groom that 
the mare looked well, but that she had not touched her food. 
He answered, she never will eat when any one is in the 
stable, but will begin to feed when we leave. She is one of 
the best w r e have, and Sir John has often refused £300 for 
her this winter. 
The groom, on going the next morning to the stable, at 
5 o’clock, was greatly surprised to find the mare lying dead 
in her stall. She had eaten her corn and hay, but apparently 
soon afterwards was attacked with abdominal pain. On 
Mr. Peech opening her, he found what was evidently an old 
rupture of the diaphragm, and through this the intestine had 
passed, and become strangulated. 
[The lesion in the diaphragm, sent by Mr. Taylor, existed 
near to the crura. It was evidently of long standing, and 
adhesions had taken place between its edges and the peri¬ 
toneal covering of the spleen and the gastro-splenic omentum. 
A knuckle of the ileum had passed through it, and become 
strangulated. The impacted intestine was about nine feet in 
length.] 
