804 
RERoRfS OF OASES. 
American Veterinary College—Hospital Department. 
PROLAPSUS UTERI—REDUCTION—AMPUTATION—OVARIAN AB- 
CESSES—DEATH. 
By E. B. Ackerman, D.V.S., House Surgeon. 
The patient was a very large St. Bernard bitch, about one 
year old, which had been imported for breeding purposes. 
She was brought to the hospital on the 29th of August, with¬ 
out any history of her condition, except that she had never 
been lined. 
She had prolapsus uteri, exhibited by a large red tumor 
about the size of a muskmelon, protruding through the vulva, 
and presenting in its center a cul de sac. It was somewhat 
cold to the touch, and not painful. The mass was quite in¬ 
durated, and on that account the possibility of reduction was 
doubtful; indeed, it was only after two days that this could 
be done, the projecting uterus being previously fomented and 
protected, and having somewhat diminished in size. The re¬ 
duction, however, was difficult, and could not be accom¬ 
plished until an hour of pressure had been applied with the 
hands, the bitch being kept with her hinder extremities ele¬ 
vated. A repoussoir, made with a piece of smooth stick, was 
pushed against the uterus, at the neck, to assist the work of 
returning the organ into the pelvic cavity. The reduction hav¬ 
ing been made, a kind of opiate pessary made with a sponge 
was pushed into the vagina, the vulva closed with two sutures, 
and an ice bag put over the parts and kept in place with a 
bandage. 
This proved but partially successful, the prolapsus return¬ 
ing after a few hours. Reduced a second time, it seemed 
that the trouble was ended; and though there was consider¬ 
able inflammation and discharge of pus, etc., the dog was 
sent home in a few days convalescent. 
Four days later she was returned to the hospital. Sub¬ 
mitted to the same manipulations, the uterus was again re¬ 
duced, and suppositories of opium and bandages were used, 
but failed. A large rubber pessary was then introduced, and 
