130 CARCINOMA or THE INTESTINES OF A HORSE. 
to be perfectly well, and the coachman also thought him so, 
and that it would not be necessary for me to see him again. 
But in the evening 1 was again sent for, and when 1 arrived 
I found the horse suffering acute abdominal pain. From the 
symptoms evinced, I came to the conclusion that a calculus 
existed either in the bladder or intestines. 1 communicated to 
the owner my opinion, when he said if there were no hope of 
an ultimate cure being effected, he would prefer having the 
horse destroyed, as he was an old favorite of his. This 
was accordingly done. I forgot to mention that the horse 
lately took to jibbing. He was a very ravenous feeder, and 
would not only eat all his litter, but, if left in a loose box, the 
whole of his faeces. 
I remain. Sir, 
Your obedient servant, 
H. Shaw. 
Professor Varnell. 
Examination of the morbid parts, —It would have been more 
satisfactory if Mr. Shaw had sent the whole of the contents 
of the abdomen, as we should then have been enabled to 
record more fully the extent of this malignant and insidious 
disease. The only parts forw^arded were the kidneys, pancreas, 
portions of the ilium,colon, mesentery, and mesocolon, and also 
a small portion of the liver, with a part of its duct. But 1 was 
verbally informed that the whole length of the intestines was 
more or less affected with this disease. I first examined the 
outer surface of the ilium, which was very irregular in size, 
indicating, in some places, impactment to a considerable 
extent. This w^as afterwards found not to be the case, as no 
faecal matter was met with in its interior. The irregularity 
of its surface depended upon numerous tumours situated 
beneath the peritoneal covering of the intestine. Some of 
these tumours were not larger than a common nut, while 
others were the size of a hen’s egg. Some of them were 
isolated, while again others were united together. Similar 
tumours were found to exist above the attached border of the 
intestine, seemingly following the course of the absorbents 
of the mesentery as high as its root, at which [)oint I found 
the mesenteric lymphatic glands to be enormously enlarged. 
Examination of the inner surface of the intestine. —To do this 
effectually, I made a longitudinal section along its free border, 
through its entire coats. As before stated, the gut contained 
no ingesta, but its inner surface exhibited marks of extensive 
disease, and like the outer surface it was uneven from the 
existence of numerous tumours, which projected inwardly 
