184 
INVERSION OF THE UTERUS, &c. IN A COW. 
By Mr. Lewis, V.S., Monmouth. 
To the Editor of u The Veterinarian .” 
Sir,—S hould the following case merit a place in your 
Journal, its insertion will oblige. 
On the 15th instant I was called to attend a cow, five years 
old, which “ could not calve.” Last year she had partial in¬ 
version of the uterus, and she was now in the same state-—had 
been straining for.some time—had gone a week over the usual 
time. 
Upon making an examination per vaginam, the os uteri 
was found sufficiently dilated to admit two fingers, but ap¬ 
peared indurated, and very much thickened. Gave Tinct. opii 
5j, aquse q. s. To have warm mashes. 
16^/i.—The pains are more truly propulsive; but the os uteri 
remains the same, and appears as though a ligature was tight¬ 
ened around its neck. R Ext. hyoscyami 3ij, aquae q. s. 
Ft. mist. 
Being obliged to leave, I ordered that, should my assistance 
be deemed necessary before my return, to send immediately, 
intimating that the least which could be expected would be in¬ 
version of the uterus. Accordingly, I was sent for. She 
had calved with difficulty, which rendered assistance necessary; 
and, upon lying down soon after, the whole of the uterus, &c. 
came out spontaneously. 
Upon my arrival I found them filling a large pail, including 
the uterus, with placenta still adhering, and a portion of the broad 
ligaments of the uterus, which were torn asunder. It being 
the wish of the owner to have it reduced, although I held out 
no hopes of a favourable issue, I proceeded to make the attempt. 
Every effort was made whilst having the hind quarters bolstered 
up, but without success. I spoke of amputation having thus 
succeeded on a former occasion, which, in accordance with the 
wish of the owner, was performed, but with no good effect; for 
she, being sinking at the time, expired soon afterwards. 
Autopsia .—The os uteri, which was torn into fragments, had 
a large excrescence in a scirrhous state around its neck, which 
had evidently acted as a strong ligature. The broad ligaments 
of the uterus were ruptured, as was also the uterus itself; like¬ 
wise the vagina, through inversion, and also the rectum. 
