EXTRACTS FROM GERMAN PERIODICALS. 
463 
edder than normal; stomatic membrane dry and pale ; peri- 
talsis, especially of the colon, comparatively sluggish ; abdo- 
len distended and in a tympanitic state ; the foal defecates 
t long intervals, and accompanied by sundry grunts, a few 
ard, small and coated pellets of feces, assuming an extended 
osition the while, as though about to urinate. 
From these observations we concluded that we had to do 
dth colic, associated with proctitis chronica. Manual exam- 
lation of the rectum exposed the cause of this chronic and 
ppareritly dangerous colic. After proceeding forward about 
wen inches, our further progress was impeded by a con¬ 
viction of the bowel lumen, so complete as to scarcely allow 
le introduction of a single finger. This obstruction was 
onstituted by six independent, pediculated tumors that threw 
le membrane in a fold which circumscribed the cavity, 
'hese formations, which we later determined to be polypus 
bromas, were partially disintegrated by ulcers. 
By judicious and continuous pressure with the oiled hand, 
r e succeeded in passing the stricture and entering a much 
irger cavity of the colon, whose walls were greatly thick- 
}ned. This enlargement of the lower bowel was practically 
le rectal reservoir; it was occupied by closely packed man- 
re which we removed. The new formations being beyond 
be reach of the bistoury, and being, moreover, in a locality 
r here hemorrhage could not easily be controlled, we decided 
) procure a corrugated thimble, such as is used in obstet- 
:s, and with this instrument sever the insertion of the base 
ito the membrane. 
This being done, we constructed an impromptu ecraseur, 
pon the spur of the moment, from the canula of a ccecal 
'ocar and a bit of wire. By great effort, though the patient 
t this point was very unquiet, we succeeded in extirpating 
le growths. Contrary to our anticipation, a considerable 
emorrhage followed, which, however, subsided after the in- 
'oduction of a tuft of oakum dusted with 
Cupri. sulph. pulv., 
Ac. tannici pulv., aa. 
After the lapse of one half hour this was removed, and the 
